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; Y) McCampbell Analytical, Inc. CHAIN OF CUSTODY RE OR <br /> 9 0* <br /> 1534 Willow Pass Rd. / Pifburg, Ca.94565-1701 URN El TAROUND TIME: PwsuEl I DAY Q 2 DAY Q 3 DAY 5 DAY F-1, <br /> 6/1 tswww.mccompbell.com/ ain@mccampbell.com GeoTracker EDF PDF Q EDD-Q Write On(DW)Q E.QuIS 10 DAY <br /> Telephone: (877) 252-9262 Fax: (925) 252-9269 <br /> Effluent Sample Requiring"J"flagQ, UST Clean Up Fund Project[D.,Claim <br /> Tie ort To: Thomas Hightower Bill To: Anamlysis Rec nest <br /> Company: Universal Service Recycling,Inc <br /> Tele- toNier@usrserap.coni <br /> Project#I- -20-B <br /> Project Location:3200 SOUTH ELDORADO ST 95206 Purchase <br /> Z z <br /> Order-#TOM <br /> Sam ler Si nature: > <br /> M,ATRIX > Q� <br /> METHOD <br /> SAMPLING <br /> PRESERVED <br /> c. Er <br /> SAMPLE ID Location/ r <br /> Field Point <br /> ,Name Oate Time <br /> U 7, <br /> a U <br /> I-Q-20-B STOC 1/l/ 10;00 <br /> KTON 2120 A111 <br /> .................................... ................................ <br /> ............... <br /> ................... <br /> .......... <br /> -MAI clients MUST cTisciase any dangerous chemicals known to be present in'heir submitted samples in concentrations that may cause immediate harm or serious future health endangerment as a result of brief,gloved,open air.sample <br /> handling by MAI staff,Non-clisclosure incurs an irnmediatG-$250 surcharge and the client is subject to full legal liability for harm suffered. Thank you foryou,understanding and for allowing us to work safety. <br /> —If metals are requested for water samples and the water tyr e Is not specified on the chain of cusiod then MAI wilt detapIt! etaisi A FROO.'g, <br /> Relinquished By- Date, Time- Re - <br /> ,p�ived By: ICE/t' &9\\-\)2 1� <br /> COMMENTS- <br /> TOM HIGHTOWER GOOD CONT)f ION RETURN ALI,SAMPLES TO UNIVERSAL SER1710E <br /> HEAD SPACE ABSENT RECYCLING 3200 S ELDORADO 95296 <br /> Relinquished B.y <br /> - Date: Time: Rebc,64i4ed DECHLORINAXED IN LAR <br /> APPROPRIATE CONTAAJNERS <br /> PR ESERN ED IN LAB_ <br /> Relinquished By: Date. Thne- Re6eivvd VOAS O&G METALS OTHER HAZARDOUS: <br /> Page 19 of 20 <br />