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Generale COC MAT Work Order# - <br /> 7 McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> J i534 Willow Pass Rd.Pittsburg,Ca.94565-1701 FT- 1 <br /> round Time:I Day Rush 2 Day Rush 3 Day Rush STD K Quote# <br /> Telephone:(877)252-9262/Fax:(925)252-9269 !MAL ESL Cleanu A roved <br /> P PF Dry weight Bottle Order# <br /> www.mccampbell.com main mccam beltemm Delivery Fotmat: PDF GeoTracker EDF EDDI I Write On(Dw) Detect Summary <br /> Report To: Q ,E ;LE Bill Tub Analysis Requested <br /> Company: CONC)r_p_ T <br /> Email: LGaST(r; Ct^Y�1GL2Ci'�RTk Cor-t <br /> Alt Email: Tele: <br /> Project Name: S�VT_1_ A —C- Air Project#: cl I (a <br /> Project Location: 5-3 S T us S PO# <br /> Sampler Signature: <br /> SAMPLE ID Sampling � <br /> Ca <br /> Location/Field Point Date Time Matrix Preservative <br /> Ss - 113 k Ctqcis <br /> 5S, - I 24 Tjq <br /> X <br /> QJG <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may c iuse 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 5250 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 wil l be preaared in its place and noted in the report. <br /> Relinquished By/Company Name Date Time eived By 1 o pang Name Date Time <br /> r W-z <br /> w <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-HC1 3=H2SO4 4=14NO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp v� oC Initials <br /> V-UV <br /> Page I-a-ge 13-of 14 <br />