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® MCCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTO RECORD <br /> O 1534 WILLOW PASS ROAD TURN AROUND TIME ❑ U ❑ ❑ <br /> PITTSBURG,CA 94565-1701 <br /> WOWebsite:www.mccamnbell.com Email: main@mccampbell.com RUSH R 48 HR 72 HR 5 DAY <br /> Telephone: (877)252-9262 Fax: (925)252-9269 GeoTracker EDF ❑ PDF ❑ Excel ❑ Write On (DW) ❑ <br /> ❑ Check if sample is effluent and"J" flag is required <br /> Report To: Beadle and day @ 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 /> e <br /> _ samples are <br /> E-Mail:day6ileeoconine.corn and bead) eoconine com e s potentially <br /> -Tele: 925 371-5900 Cell 925 395-1669 12 g e dangerous to <br /> Project#:E8857-02-02 Project Name: Manteca Firing Range g a z e e d handle: <br /> Project Location: M CA ` o 0 <br /> Sam ler Si nature: �. ? _ z x U o x 3 " <br /> a Y <br /> i O r ` j ay « « c <br /> SAMPLING METHOD v a m o o g 4 <br /> MATRIX PRESERVED a m U z V m <br /> u c o <br /> C y G 0 <br /> AMPLE ID V b 9 <br /> SField Point '� a -£ "e_ g $ o `'a <br /> Name Date Time <br /> LOCATION/ °o d 2 oo `u , O y 9 N S y <br /> oe a <br /> U a m +- e s W .0 Z x x Y a a a a a a a m b <br /> Q m O U =x x O <br /> W fuu <br /> W <br /> � z <br /> - lit <br /> **MAI clients MUST disclose any dangerous chemicals known to be present their submitted samples in concentrations that may cause immediate harm 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 harm suffered. Thank you for your understanding and for <br /> allowing us to work safely. <br /> Zenquished <br /> fished By: Date: Time: Received By: ICE/t° COMMENTS: <br /> 6_ro� )Sv CO ITION <br /> AD SPA(eE ABSENT By: Date: Time: Rec ived 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 DtfQ <br /> Page 25 of 28 <br />