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General COC MAI Work Order# � � � �1 CA <br /> s McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Tum Around Time:l Day Rush 2 Day Rush 3 Day Rush S-l"D • Quotecm)r # <br /> Telephone:(877)252-92621 Fax:(925)252-9269 J-Flag 1 MDL ESL Cleanup Approved Bottle Order# <br /> \L�f www.mccampbell.com main(a),mccampbell.com Delivery Format: GeoTracker EDF I PDF 0 1 EDDI Write On 4DW11 I EQuIS <br /> Report To: Joe Anderson Bill To: Joe Anderson Analysis Requested <br /> Company: Ponder Environmenlal Services, Inc. _ y <br /> F <br /> Email: joe.anderson@pander-env.com i 3 0 a0 <br /> — - U � ez. <br /> Alt Email: Tele: (707)748-7775 ° 8 "e 9 - <br /> Project Name/#:19-8007 Stockton Prover g e c <br /> Project Location:2947 Davy Drive,Stockton PO#744126 <br /> Sampler Signature: = e a a <br /> SAMPL Samplln« <br /> Matrix Preservative y G = - = in <br /> Location/Field Point – r _ = < e •_ c = r ? <br /> Date Time <br /> Prover 6114119 1230 5 WW HCI <br /> MAI clients MUST disclose any dangerous chemicals known to be present in thea subrnitted samples in concentrations that may cause mrmedtale harm or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for harm suffered.Thank you 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,MAI 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 LCSILCSD will be prepared n"its place and noted in the report. <br /> Relinquished By/Company Name Date Time Re ived By I Compily Name Date Time <br /> ��. <br /> LL <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=HCl 3=H,SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp °C Initials <br /> Pae 1 of 1 <br /> Page— — <br /> Page 10 of 11 <br />