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Sununa COC MAT Work Order# _ <br /> SAC 01 �� � <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1741 t Day Rush 2 Day Rush 3 Day Rush IS7D Quote# <br /> Telephone:(877)252-92621 Fax:(925)252-9269 J-Flag I MDL ESL I Bottle Order# <br /> 101Wwww.mccarnPbcll.com main(@mccamnbell.com Delivery Format PDF GeoTracker EDF EL)DI I Detect Summary <br /> Report To: Bill To: Analysis Requested Helium Shroud SN# <br /> Company: a Leak Check Defaul is[PA <br /> r- s ` Helium Leak Check% <br /> Email: Coypu t. <br /> a b w <br /> Alt Email: Tele: '� j (o �s = = s IPA Nglm3 <br /> z z <br /> Project Name: Project#: . U-1, E w a` 1,1-ditluroethancµglm3 <br /> Project Location: °u z" Other{Specify} <br /> ampler Signature UC G '4�--� x — ,� t Matrix Field Canister(in <br /> E ri -r n u ii Hg) <br /> c" <br /> SAMPLE ID Sampling Start Sampling End Sample Kit/ d ° 3 d "' _ a Pressure/Vacuum <br /> Canister SN# ~ Z c ^ S e e <br /> Location 1 Field Point Manifold# U L z <br /> Date Time Date Time o a F o Initial Final <br /> GAS6 - r is lm<' S L 0") 1 IM;- is <br /> ,o 5 ` -L 5)3 ,'N I(y(O 51 44 62) 31 1L Z. 12a k '30 <br /> Sub _ 5 13 I za 13 7y 1.w1 1013-2 n <br /> 2� ..Z9 _ 5 <br /> S 3- 5 13 t 12_Iq . ti� it j2.24 -jg5f - Z 12 <br /> IF i <br /> Air media provided for sampling by McCampbeli Analytical,Inc. is subject to terms listed in the MAI General Media Agreement Final Reporting Units <br /> Client will be charged $56 for each unused Summa canister. nL11 ug/t ug/m3l uLJL <br /> Relinquished By I Company Name Date Time eived By! mpany Name Date Time Comments I Instructions <br /> E <br /> Page j of <br /> Page 28 of 29 <br />