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General COC MAI Work Order# <br /> ' McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush 12 Day Rushl 3 Day Rush STD Quote# <br /> �O Telephone:(877)252-9262/Fax:(925)252-9269 1-Flag 1 MDL ESL Cleanup Approved Dry weight Bottle Order# <br /> www.mccampbeli.com mainAmccampbell.com Delivery Format: PDF GeoTracker EDF i EDD Write On(Dw) I Detect Summary <br /> Report To: fft4 V f► Bill To: J. t,1 Analysis Requested <br /> Company: b14Sv , <br /> Email � Mp� ►,` ���DC���b- 0M 0- <br /> Alt Email: nA; i09kr-Sw I lo`lk)' ele: vkl {+—Z Z L <br /> Project Name: �0(ok )I dr V Pf oject#: Z il V ` !vi <br /> Project Location: e PO# i QU 1 1 iJU <br /> Sampler Signature: <br /> SAMPLE ID Sampling <br /> F Matrix Preservative <br /> Location/Field Point Date Time [� <br /> 1/\ vV— 1@ i ' so POI > x <br /> IZIrS113 1 150 ua I)e " <br /> W ' 1 `fir 7115123 11,A Z 1I so A <br /> d—A I I <br /> MAI clients MUST disclose any dangerous chemicals known t°be present in their submitted samples in concenualions that may cause immediate hams ur serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non-disclosure incurs an immediate S250 surcharge and the client is subject to full legal liability for harm suffered.Thank you for your understanding and for allowing us tv wud,safely. <br /> •If metals are requested for water samples and the water type(Mauix)is not specified on the chain of custody,MAI will default to metals by E200.8. ,/'�' otnmeuts/Instructions <br /> ` Please provide an adequate volume of sample-if the volume is not sufficient For a MSIMSD a LCSILCSD will be prepared in its place and noted in the report I J St P G 1�fGpC I+P <br /> Relinquished By I Company Name Date Time Received By I Company Name Date Time +tr t' .4c1 F'L <br /> !� ,�. c� to M t" (� �+ssuc r•-ye- ; 12 1 `' L � �A a i! <br /> Matrix Code:DW=Drinking Water,GW=Ground Water, =Waste Water,SW=Seawater,S=Soil,S . Sludge,A=Air,WP=Wipe,0--Other <br /> Preservative Code: I=4°C 2=HCI 3=H7SO4 4=HNO3 5=NaOH 6=ZnOACINaOH 7=None Temp "Al <br /> ls <br /> JY <br /> v_���rrr Page_of <br /> Page 20 of 22 <br />