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General COC MAI Work Order <br /> O McCAMPBELL ANALYTICAL, INC. CHAIN OF cus-roDN RECORD <br /> O 1534 11'illow Pass Rd. Pittsburg.Ca.94565-1701 1 um \round Time:I Day Rush 2 Day Rush #1)1)) <br /> ush SII) 0 Quote tJ <br /> �O Telephone:(877)252-9262 Far:(923)252-9769 )-r'a� Mul 11-111 CleanupApprovedn 1Beight Bottle Order it <br /> w%l w.mccaniphell.com main(a mccamabell.com Delivery Formal: I'DI: (icofrackei I:Df Write On(IM) Delecl Summar' <br /> Report To:TAMARA WOODS Bill To:MACY HUMPHREY Analysis Regnested <br /> Company:TERRACON CONSULTANTS INC 7 <br /> CD <br /> Email:TAMARA.WOODS@TERRACON.COM C) <br /> Alt Email: Tcle: 209-712-7159 w <br /> co <br /> Project Name:MANTECA FARM IMPROVEMENTS Project 0: NA197073 z <br /> Project Location:5298 E.BRUNSWICK ROAD,MANTECA PO r < to <br /> Sampler Signature: 2 OAL2 i tZt � H W, <br /> SANI P1,F ID Sampling g < U <br /> Location!Field Point N,tatrix Preservative m <br /> Date Timc Z <br /> GW-1 9-19-19 1 Gw • <br /> GW-2 9-19-19 ?.=�. 2 GW cnarueir< <br /> TRIP BLANKS 2 <br /> MAI clicros MIST disclose am d:mgerous chemicals known to be present in their submitted samples in concentrations dtal map cause inunediate harm or serious lin ire health end:mgennem as a result of brief,gloved,open air.:angdc hardline M\I Al 1.1 If <br /> Non-dkclosury incurs an immediate S2S0 surcharge and the client is subieci to till Ic.oal habilhy for hann suIl rcd.thank)ou for)nut understanding and for allowing us to work safcly. <br /> 'If metal.are requested for seater<antpies and the water 1%:N(Matrix)is not specified on the chain of custody.NIAI will default to metals by 1:2011.3. (bnuncnts/Instruction~ <br /> Please provide an adequate volume of sample.If the volume is not sufficient tis a NIS-NISI)a I.( S L('SD will he prepared in its place and noted in the rcl)(trt. <br /> Relinquished By Company Name Dane Tunc Received By;Company Name Date I title <br /> `l/moo/ 1 y p 4\v , c• <br /> Matrix C< : DW -Drinking Water.GW=Ground Water. WW=Waste Water. SW=Sea�+ater•S=So edge.A=Air• WO=IOther <br /> Preservative Code: 1-4°C 2=1ICI 3 11,S0, 4=HN0; =Na011 (i=ZnOAe!NaOIT 7=Note temp C Initial. <br /> Page of <br /> Page 9 of 10 <br />