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General COC MAI Work Order# _Wu - <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass ltd.Pittsburg,Ca.94565-1701 Turn Around Time:1 Day Rush 12 Day Rushl 13 Day Rush STDI I Quote# <br /> Telephone:(877)252-9262/Pax:(925)252-9269 7-Flag/MDLJ I ESL Cleanup Approvedl I I Bottle Order# <br /> www.mccamr)bell.com inainry nteeaipphell.com Delivery Format: PDF GeoTracker EDF EDD I Write On(DW) I EQuIS <br /> Report To:Pat Flares Bill To:Safety-Kleen Salida Analysis Requested <br /> Company.Safety-Keen m <br /> Email:patrick.flores@safety-kleen.com 4 3 a r a <br /> Alt Email: Tele: _ ° ° <br /> Project Name:CH32532 Project#: ^' I <br /> Project Location:CHLQ PO 4 + E ti <br /> Sampler Signature: U <br /> E a mm <br /> SAMPLE ID Sampling 1. 0 e_ — 0. — ^� S <br /> Matrix Preservative o C U 0. 8 w a v v z c 3Cn <br /> Location Field Point Date TimeF a <br /> M <br /> H 3 E~ ZZ I— LL <br /> iz F t— � w w a w v <br /> STOCKTON G k _L 10/21/19 10:00 AM 2 L <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that inay cause immediate harm or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI star. <br /> Nondisclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for harm suffered.Thank+for your understanding and for allowing us to work safely. <br /> "If metals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,PAI will default to metals by E200.8. Comments/Instructions <br /> Please provide an adequate volume of sample.if the volume is not sufficient for a MSIMSD a LCS/LCSD will be prepared in its place and n ted in the report. <br /> Relinquished By/Company Name Date Time Reereived By! y Name Date Ti e <br /> n� <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=4°C 2-=HCI 3=H2S0¢ 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=Noone Temp' Of <br /> Initials <br /> Pae of <br />