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General COC MAT Work Order# 2M mo <br /> McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca,94565-1701 Turn Around Time:l Day Rush 2 Day Rush 3 Day Rush STD Quote# 254269 <br /> W� Telephone;(877)252-9262/Fax:(925)252-9269 J-Flag/MOL ESL I Cleanup Approved Dry Weight Bottle Order# <br /> www.mccampbell.com mainAmccampbell.com Delivery Format: PDF Geo-Fracker EDF EDD I CLIP EDT(DW)J I Detect Summary <br /> Report To:Sarah White Bill To: Analysis Requested <br /> Company:UniFirst Corporation <br /> Email:sarah_white@unifirst.com o <br /> Alt Email: Tele: b03-493-9605 <br /> Project Name: Project#: r <br /> Project Location: PO# o <br /> m <br /> Sampler Signature: .�v-2—� <br /> m <br /> Sampling e <br /> SAMPLE ID h <br /> Location/Field Point Mafrix Preservative <br /> Date Time <br /> '10l. <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 stafr. <br /> Nondisclosure incurs an immediate S250 surcharge and the client is subject to full legal liability for hams 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 1 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 /> ff q Van C�.¢ide plme iod—ample s-. and my <br /> Relinquished By Company Name Date Time Received By Company Name Date Time <br /> -7,'162 <br /> Matrix Code: DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawat , =Soil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: l=4°C 2=HCI 3=H2SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None 'Temp °C Initials <br /> Page_of <br /> Page 18 of 19 <br />