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General COC MAI Work Order# <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.PittsburL_,.Ca.94565-1701 Tum Around Time:I Day Rush 2 Dar Rush 3 Day Rush I I STD • I Quote# <br /> Telephone:(377)252-9262 i Fax:(925)252-9269 l-Flag,4tDL E--;Ll Cleanup_Approved I I I Bottle Order 4 <br /> \�f wn-w.mccampbell.com main(i�-mccamnbell.corn Delivery Format: GeoTracker EDF PDF '• 1 EDD I 4t`rite Un(DW) I T:QuIS <br /> Report To: Joe Anderson BillTo: Joe Anderson Analysis Requested <br /> Company. Ponder Environmental Services,Inc. <br /> T <br /> Email: joe.anderson@ponder-env.com rI _ <br /> Alt Email: Tele: (707)748-7775 x <br /> Project Name,!:19-8007 Stockton Prover <br /> Project Location:2947 Navy Drive,Stockton PO 744126 v � _ `) � v m <br /> IS <br /> Sampler Signature: <br /> ` <br /> SA�1PL Sampling <br /> _ s <br /> Matrix Preservative - <br /> Location/Field Point Kat Time — — _ E <br /> f — - <br /> Prover 6114/19 1230 5 WW HCl <br /> XTA1 chcnts b1ilST disclose an}dangerous chemicals kno%n to lie pros--nt in their submitted simples in concentrations that may cause imn iediate harm or serious folurc health endangerment as a result of brret;glared,open air,sample handling by tAl staff, <br /> Non-disclosure incurs an irnnhzdiate S2.0 surcharge and the client is subject to full legal liability.for harm suffered Than;you for your understanding and for allowing u>to work safely <br /> 11-metals are requested for water samples and the water type(Nlatris)is not specified on the chain(if custody,\1Al will default to metals by E201).3_ Comments 1 Instructions <br /> Please provide an adequate volume of sample.If the volume is not sufficient.far a NMINISD a LCSi1_CSD will be prepared iri its place and noted in the report. <br /> Relinquished By/Company Name Date Time Re){eived By!Com ay Name Date Time <br /> (' . <br /> l\latrix Code:DW=Drinking Nater,GW=Ground Water,`IV=Waste Water,SW=Seawater,S=Soil.SL=Sludee,A=,Air,ti'V'P=Wipe,0=0t11er lei <br /> L4-76 <br /> Preservative Code: 1=4°C 2=FfCl 3=H,SO4 4=HNO3 5--NaOH 6=ZnOAc/NaOH 7=None Temp °C Initials <br /> V V Pa-e 1 of 1 <br /> Page 10 of 11 <br />