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® McCAMPBELL ANALYTIC INC CHAIN OF CUST,RECORD <br /> 1534 WILLOW PASS ROAD UOUND TIME ❑ ❑ ❑ ❑ <br /> PITTSBURG,CA 945(5-1701 <br /> OO ;� RUSH 48 HR 72 HR 5 DAY <br /> Website:www.mccam06ell.com Email:main c 1.c0m <br /> Telephone: (877)252-9262 Fax: (925)252-9269 r ker EDF ❑ PDF ❑ Excel ❑ Write On (DW) ❑ <br /> ❑ Check if sample is effluent and"J" flag is required <br /> Report To: Beadle and day Q Geocon Bill To: Same Analysis Request Other Comments <br /> Consultants <br /> Company: Geocon Consultants,Inc "Indicate <br /> 6671 Brisa Street,Livermore CA 94550 a here if these <br /> o _ samples are <br /> E-Mail:da eoconinc.com and beadle@geoconine.com s s potentially <br /> -Tele: 92 371-5900 Cell 925 395-1669 e _ S S dangerous to <br /> Project#:E8857-02-02 Project Name: Manteca Firing Range - �" = = a handle: <br /> Project Location: Mante CA u m <br /> Sampler Si nature: /L- ° - a z Q �°> a g o <br /> METHOD <br /> SAMPLING MATRIX S m a - g <br /> PRESERVED 9 < o U z a m o <br /> N v <br /> LOCATION/ TDateTime <br /> w — e m �+ « a g <br /> SAlY1PL-4 ID c c 8 a mo $ W e �- ..n 'S: - ., <br /> Field Point '� o a 'o $ o m m « :F- '� a <br /> Name U d °r' w d , C d m a o y N <br /> U 'Z t o a e 'S o a a a i a i -.a .G u <br /> xt F 3 v1 Q rn O <br /> rDNE -SO 6 -O t <br /> 0 <br /> 0 <br /> **MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate barn or serious future health endangerment as a result of brief, <br /> gloved,open air,sample handling by MAI staff.Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for barm suffered. Thank you for your understanding and for <br /> allowing us to work safely. <br /> Re' q hed By Date: Time: Received By: E/P COMMENTS: <br /> &OOD CONDITION_ <br /> �I HEAD SPACE ABSENT <br /> r R quished By: Date: Time: ceive y: DECHLORINATED IN LAB <br /> APPROPRIATE CONTAINERS_ <br /> PRESERVED IN LAB_ <br /> Relinquished By: Date: Time: Received By: <br /> VOAS O&G METALS OTHER <br /> PRESERVATION HQ <br /> Page 23 of 28 <br />