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FT <br /> General COC MAI Work Order# ze, � yl� <br /> McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time: Day Rush 2 Day Rush 3 Day Rush STD Quote# <br /> Telephone:(977)252-9262/Fax:(925)252-9269 1-Flag/MDL ESL Cleanup Approved Dry Weight I Bottle Order# <br /> www.mccampbell.com main(a)mccampbell.coni Delivery Format: PDF I GeoTracker EDF I EDDI I CLMEDT(DW)l I Detect Surnmary <br /> Report To: Jon Campbell Bill To: Kirkwood Meadows PUD Analysis Requested <br /> Company: Kirkwood Meadows Public Utilitys District <br /> Email:jampbell@kmpud.com <br /> Alt Email: Tale: (209)256-5175 <br /> Project Name: Project#: <br /> Project Location:Kirkwood WWTP PO# Cn <br /> Sampler Signature: 3 r i U Y) <br /> SAMPLE ID Sampling I O <br /> Location/Field Point o Matrix Preservative ` U) <br /> Date Time U <br /> Sludge Profile 419/26 11 r-f p 4 SL 7 �r • • • <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that mi:v 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 E200.9. 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 Rc ' Ed By,/ a ame Date Time <br /> Kra ,,nmd tile, y 9-.era 11T3 a d Z <br /> Matrix 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=H2SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp�-C �kiitials <br /> Page_of <br /> Page 35 of 36 <br />