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Getral COC MAI Work Order# <br /> `7 <br /> MCCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RIJC©RD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Tum Around Iinic:l Day Rush 2 pay Rush 3 Day Rush STI Quote It <br /> Telephone:(877)232-9262!Fax:(925)252-9269 1-Fingl h-1DL —'-SL <br /> Cleanup Approved i30tlie DC[]er I? <br /> w++�v.nlccamphell.cam main Rincctimpbel].cam Delivery Formal: I'DC GcoTmckeC>rn' E:pD lvrite On(DIV} GQuIS <br /> Report To: A(� !iW ae-� Bill To: Analysis Requested <br /> Company: AVk(Cct7 <br /> Email: 12G�f / (C —CaXIT-l� Gni _ s a ti 4 <br /> Alt Email: 7-3Z 7,v13 _ = W3i - - <br /> U <br /> Project Name: 4 F'v+•,,.3 C55:"-- Project#: A,I� <br /> Project Location: PO# <br /> Sampler Signaltlrc: <br /> � _ <br /> 3 = i z <br /> Sampling <br /> SAMPLE ID f ❑ - W in r1 w T L' 3 c <br /> - - <br /> Matrix Prescrv:nive _ n o <br /> Location/field Point _ u = = < < - <br /> Date Time u � = _ _ _ _ _ - <br /> �du] 7iZ �� �•�Z { <br /> MAI clients MUST disclose any dangerous chemicals Lno%vn to be present in their submined samples in camcntmtions that nlay cause immediase Kann or sariuus future hcahh endangerment as a result orbrief.gloved,open air,sample bandling by MAI staff <br /> Nun-disclosure incurs an immediate S250 surcharge and tine client is subject um full legal liability Por lianrt suffered.Thank you forynur undcmianding and far alhnving us to wark nrcly. <br /> r Irmetais are requested Par water samples and tile Rptcr type(Matrix)is not specified on the chain of cuslody,MAI will def-huh to metals by L•200.8. Comments 11nSlruetion-s <br /> Prase provide an adequate vulumc of sample.If Ilre Volume is not sufficient fur a MS/MSD a LCSlLCSD will be prepared in its place:Ind noted in the repnn. <br /> Relinquiphed ?/Company Namc Dale Time Received fay 1 mpany NameDale Time <br /> tilfnfttw- <br /> V t <br /> Matrix Code: DW=Drinking Nater,GW=Ground Water, W-%tr=Waste Water,SW=Seawater,S=Sail,SL=Sludge,A=Air.WP=Wipe,0=0ther <br /> Preservative Code: 1=4°C 2=11CI 3=1-1,SO4 4=I-TNO3 5=NaOI-1 6=ZnOAclNn01-1 7=None Temp '4 °C Initials <br /> 0jC/f Pare Pagd'9 of 10 <br />