Laserfiche WebLink
OG McGampbell Analytical Inc. CHAIN OF CUSTODY RECORD <br /> W� 1534 Willow Pass Rd./Pittsburg,Ca.94565-1701 TURNAROUND TIME:RUSH QJ 24 HR Q 48[IR Oj72 HA❑Jis DAY o DAY <br /> www.mccampbell.com/ main@mccompbell.com GeoTmckerEDF[a PDFQ EDDQ WriteOn(DW)❑] EQulsp <br /> Telephone: (877) 252-9262/Fax: (925) 252-9269 <br /> Effluent Sample Requiring"J"flag UST Clean Up Fund Project Q;Claim if <br /> Re ort To: Bill To: Analysis Request <br /> Company: (77 <br /> w o <br /> F a) <br /> m <br /> E-Mail: o - .T <br /> Tele: Fax: a <br /> Project#: Project Name: �� v a ¢" o <br /> Project Location: Purchase Order# = e " -� z `ee $ <br /> r C 'a a, e E <br /> c aD ^ U m m v m <br /> Sampler Si nature: d 8 a e Z u o <br /> MATRIX METHOD m U e w °i a hw, <br /> SAMPLING PRESERVED n of .� j V. m o: e $ c r ao of <br /> y V 8 G F C o U <br /> °`° <br /> Location/ y •ff�iriiz <br /> _ _ VSAMPLE ID ield Poin Name Date Time 40 e e '" " '"4c ri: u't Q m o m <br /> 3: ; a <br /> 1 <br /> "MAI clients MUST disclose any dangerous chemicals known to be present in theirsubmitted samples in concentrations that may cause immediate harm or serious future health endangerment as a resultof brief, <br /> gloved,open air,sample handling by MAI staff.Non-disclosure incurs an immediate$256 surcharge and the client is subject to full legal liability for harm suffered. Thankyou for your understanding and for allowing <br /> us to worksafcl . <br /> Relinquished By: Date: Time: ed y ICE/r COMMENTS: <br /> GOOD CONDITION_ Yy� 2C, <br /> l HEAD SPACE ABSENT_ �I.N�1 <br /> Rclingnis d Date: Time: ei d By: DECHLORINATED IN LAB n <br /> Z APPROPRIATE CONTAINERS_ —lQC <br /> PRESERVED IN LAB_ C` <br /> Reli q hed y: ate: Time: cived By: VOAS O&G METALS OTHER HAZARDOUS: �°` G'� <br /> PRESERVATION aH� <br /> Page 25 of 25 <br />