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General COC MAI Work Order JA D q% i <br /> 0 McCAMPBELL ANALYTICAL, INC. <br /> CIIATN OF CUSTODY RECORD <br /> 0 1534 Willow Pass Rd,Pittsburg,Ca,94565-1701 Turn Around Time:1 Day Rush 2 Day Rush 3 Day Rush STD • Quote# <br /> Telephone:(877)252-9262/Fax:(925}252-92b9 ]-Ftag/M ESL Cleanup Approved Dry Weight Bottle Order# <br /> `�J www_mecam bell,com main mccam bell.eorn Delivery Format: PDF • GeoTracker EDF1 EDDI I Write On(DW)J I Detect Summary • <br /> Report To:Ambrose Kong Bill To:Patriot Environmental Services Analysis Requested <br /> Company:Patriot Environmental Services(5108 Luce Ave,Bay 250M,McClellan,CA 95652) U ❑ U) W <br /> W W ❑ <br /> Email:sydney.truong@patriotenv.com ❑ — p <br /> Lu <br /> Alt Email:ambrose.kong@patriotenv.com Tele: 562-676-2330 j -0 W Q W W J Q <br /> Project Name:MARATHON STOCKTON-OILY DEBRIS Project#: 5113 p O Uj W J W ~ } <br /> Project Location:3003 NAVY DRIVE,STOCKTON,CA PO# T13D t0 Z Q U Q Q W U <br /> _i O t sa U O IL U) U) Z - + O N W W <br /> Sampler Signature: J C O W W Q W Q I co <br /> � fn � m � � C3 m U C7 © � � I— <br /> SAMPLE ID Sampling G U) 0 0 IL U U <br /> Matrix Preservative d rD ti J 2 = _ = J _ = M Q Q <br /> Location/Field Point Date Time 0 Q = iV cV I— [n d 0- IL U W 11 M U W W <br /> H Lt- U CL oo 0o w t- H H F- I - 1— W IZ PY <br /> OILY DEBRIS DRUM q_6.2`- C8 3 o SOLID NIA <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate harm or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability 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. PROCEED WI <br /> Relinquished By/Company Name Date Time Received By l Company Name Date Time STLCITCLP TESTING <br /> 'EdD E T SS_7^ ' . C> =3 " , �z c, PER THE 10X120X RULE <br /> I tx -q Z 1 * Cow'VA e-A 2 >?oiht <br /> coml}oslt� W1 AYVW09r✓.R I <br /> A4atrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water, SW=Seawater,S=Soil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=4°C 2=HCI 3=H2,SO4 4=11NO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp '� . °C Initials <br /> 1<q5 Page_of <br /> Page 37 of 38 <br />