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General COC MAI Work Order i= <br /> O McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTOM <br /> O 1534 Willow Pass Rd, Pittshurg,Ca,94565-17(11 Turn Around Ti..c:I Day Rush 2 Day Rush 3 Uay Ru <br /> Telephone:(877)252-9262/Fax:(925)252-9269 1-Flag;MDL ESL Cleanup Approved <br /> www.mccampbel1.coin main a_mccampbell.com Delivery Format: PDF GeoTtacker EDF EDD <br /> Report To: Tamara K.Woods Bill To:tkwoods@terracon.com Analysis Regttc <br /> Company:Terracon Consultants, Inc., 902 Industrial Way, Lodi, CACD <br /> r <br /> Email:tkwoods@terracon.com O M <br /> Alt Email:tamara.woods@terracon.com 'Cele: 209-269-8586 co 4 <br /> Project Name:Flag City#4 Project 9:NA187043 W N <br /> t N <br /> Project Location:5184 V <br /> Highway 12, Lodi,CA 'O Ir Z W <br /> U <br /> Sampler Signature: --- r - � -t, �1 M <br /> c (1) CL <br /> SAMPLE Ill Sampling G C) <br /> Matrix Prlscrvative m <br /> Location/Field Point Date Time <br /> Z 0 <br /> .-- <br /> ..� -2. <br /> MAI clients.MUST disclose any dangerous chemicals known to be pressnt in their submitted sampkc in concentrations that may cause immediate harm or serious hiture health endangerment as a resu <br /> Non-disclosure incurs an immediate 5250 surcharge and the client is subject to lull legal liability for harm suftcrld.Thank you for your understanding and fix allowing us to cork satdy. <br /> *if metals are requested for water samples and the water type(Matrix)is not spLcificd on the chain of custody,NIAI will default to metals by E200.8. <br /> Please provide an adequate volume of sample.If the volume is not sufficient fbr a MS,,MSD a LCSI'LCSD will be prepared in its place and noted in the report. <br /> Relinquish! B /Co any Name Date Time Received By'Company Name Date <br /> 3 K )Z30 Oki 1; <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=14Cl 3=H'-SO4 4=HNO, 5==NaOhI 6=Zn0Ac/NaOI-I 7=None <br />