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General COC MAI Work Order 4 <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1334 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush 2 Day Rush 3 Day Rush I STD 0 1 Quote <br /> Telephone:(1377)252-92621 Fax:(925)252-9269 J-Fiat 1 MD[_ ESL Cleanup Appro�eDd Bottle Order# <br /> www.mccampbell.com main(Cmccaulpbell.com Delivery Format: PDF GecirrackerEDF EDD Write.On(DW) EQuIS <br /> Report To:Tamara K.Woods Bill To:tkwoods@terracon.com Analysis Requested <br /> Company:Terracon Consultants, Inc.,902 Industrial Way, Lodi, CA 7 <br /> Email:tkwoods@terracon.com Q <br /> Alt Email:tamara.woods@terracon.com Tele: 209-269-8586 <br /> W N <br /> Project Name:Arrellano Property Project#:NA187058 t LO <br /> Project Location:150 S.Alpine Road, Stockton, CA PO t Z W <br /> � t <br /> I. tC'C'z� <br /> Sampler Signature: �-,- �,�;�;� tII <br /> SAMPLE ID <br /> Sampling (� <br /> Location 'I field Point s Matrix Prewrvative 0 <br /> Ze7 Time Z Q <br /> GW11 GW <br /> G W 2 (1 of 2) 1 1 GW Asco,b,UMeieic <br /> GW2 (2 of 2) C 7� 1 GW Ascerblc;teelc <br /> Trip Blank 2 GW <br /> MAI clients MUSl'disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate hams or serious future health endangennent as a result oi'brief,gloved.open air,sample-handling by MAI staff: <br /> Nun-diselosurc incurs an immediate 51_50 surcharge and the client is subject to full legal liability for hams suffered.Thank you for your understanding and for allowing us to work mfcty. <br /> *It 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 G200.8. Comments'Instructions <br /> Please provide an adequate volume of sample. If the volume is trot sufficient fora MS/MSD a 1 CS LCSD will he prepared in its place and noted in the report. <br /> Relinquished By i Company Name Date Time Received By Company Name Date I Time <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water, SW=Seawater,S=Soil,SI.Sludge,A=Air.WP=Wipe,O=Other r <br /> Preservative Code: 1=4°C 2=HCI 3=H1SO4 4=1-IN03 5—NaOH 6=ZnOAc.NaOH 7=None Temp °C Initials <br />