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�� CHAIN OF CUSTODY RECORD <br /> By McCampbell Analytical, Inc. <br /> W� 1534 Willow Pass Rd./Pittsburg,Co.94565-1701 PURN AROUND TIME:RUSH❑ aI Hu f an xR❑: UR❑, : t' ❑ D:1Y <br /> www.mccampbeii.com/ maintamccompbell.com GeoTrackcrLDF❑ PDF❑ EDD❑ wine0atuwl❑ Louis <br /> Telephone: (877) 252-9262/ Fax: (9251252-2269 <br /> Effluent Sample Requiring""nag[:I USTClean Up Fund Project( :Claim f! <br /> Rel2rtTo: ew.:-s BUM: wet Analysis Request <br /> Company: -t .ti <br /> (anyaik..,�T.r <br /> m <br /> E-Mali: - - c <br /> Tele. (a?G Fax: <br /> .. <br /> g N <br /> Project#- 3iA two ProiectName: tr—cy)i v %a Y 4 <br /> Pro'eet Location: i CA Purchase Ordel'K 1 k g _ 9 •� _ $ e w r� <br /> Sam ler Si nature: = <br /> i1LATRLC METHOD v <br /> SANT G PRESERVED q <br /> Lucutiun _ r. _ n 3_ _ <br /> .S'.A?IPLE ID - <br /> Picld Poin <br /> \nntc• Date Tin7C <br /> V r J % l- 4 C O• - L J - <br /> r 5 - Je. i O - - _ n - - _ _ _ _ _ _ <br /> Lo <br /> -f a a 51 .z51,i It -- <br /> T-2 IT.-;' t7wb ' <br /> T-1. - t , I I'3lU <br /> 1- - 4:51 1114 _11Ate, <br /> 'T - -4.5 Z - _ Y <br /> •� Il ks ll� x — <br /> — <br /> :- <br /> --NIAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples inviuslatraidom. <br /> that mar cause muncdimi,liar w or eerlous future health rmangt"lital as a remoolt of brief, <br /> Klosed,open air.sample handling by MAI staff.VosMisclosure incurs an immrdiale 5250 surcharge and Ike elicm is subject Io hdl lcgal Ilahility for harm suffered. Thank ram for your understanding and fur allowing <br /> us ll.mfrh. <br /> Relinquisnquished By: Bale: Time: Rev' ' ICE71" ' COMMENTS: <br /> GOOD CONDI'I 107 <br /> lY+'s4 Cla�Y sp I(\ IJS✓ F.AD GPAft ABP:]'i <br /> Relines hed By: Dote: Time: Keceirved B,. DECIILORINA I ED IS LAB_ <br /> APPROPRWTE CONTAINERS_ <br /> PRESERVED IN LAB_ <br /> Relinquished 117: Date: Time: Received By: WAS O&G METALS OTHER HAZARDOUS! <br /> PRESERVAT10N pH-2 <br />