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General COC <br /> MAI Work Order# WANO <br /> ' ® MCCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush 12 Day Rush 3 Day Rush STD Quote# <br /> Telephone:(877)252-9262/Fax:(925)252-9269 1-Flag/%4Dl ESL Cleanup Approved Dry wcighl Bottle Order# <br /> \vim/ www.mccampbell.com main-,mecampbell.com Delivery Format: PDF GeoTracker EDF EDD I write on EDW? Detect Sutttmary <br /> Report To: i en M&.r ';r1 Bill To: 2n, AAa-v I Analysis Requested <br /> Company: 851G �. <br /> Email: I,P^+c{fin <br /> bKrl3s� cvr�-� t- <br /> Alt Email: 9)0 51 T 71 tZ <br /> Project Name: n 'N S Project#: CZo D J bV .,,C `a <br /> Project Location: PO# r72eaa1 6v1r, pv .C*-Z' 66 <br /> Sampler Signature: <br /> SAMPLE ID Sampling o¢ <br /> Matrix Preservative <br /> Location 1 Field Point Date Time p <br /> �t z , 0 51 9sZ 7� <br /> -y3 e <br /> 3 -7,S C Ise !o �a <br /> loos <br /> .:6<4 z,.S t lot > , <br /> Lr v <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate hann or SenonS future health endangcmtcni as a result of brief,glovcd,open air,sample handling by MAI staff. <br /> Nondisclosure incurs an immediate S250 surcharge and the client is subject to full legal liabibry For harm suffered.Thank you for your understanding and for allowing us to work safely. <br /> •If metals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,MAI will default to metals by E200.8. Comments!Instructions <br /> Please provide an adequate volume of sample_If the volume is not sufficient for a MS/MSD a LCS/LCSD will be prepared in its place and noted in the report. <br /> Relinquished By/Company Name Dale Time Received By/Company Name Date Time <br /> r 42L rl1D L <br /> tJ <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil,A—Sludge,A=Air,WP=Wipe,O—Other <br /> Preservative Code: 1=4°C 2=HCI 3=H2SO4 4=HNO3 5=NaOH 6=ZnOAC/NaOH 7—None Temp °C Initials <br /> Page- of 3 <br /> Page 78 of 80 <br />