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General COC MAI Work Order# <br /> ® McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Tum Around Time:I I)ay Rosh _112.y Rush 3 Day Rush STD • Quote i; <br /> WO ' (a�1'elephonc:(877)252-9262/Fax:(925)252-9269 1-Flag/MDI, I?sl. • Cleanup Approved Dottle Ordcr <br /> wwwmccampbell.com mainmecamom nbcll.cDcliveryFormac PDF • GeoTmckerEDF EDil <br /> D writcOn(DW) plhds <br /> Report To:Rick Day Bill To:Geofwn Analysis Requested <br /> Comp:Iny:Geocon <br /> Email:day@geoconinc.com <br /> Alt Gmail:beadle@geoconinc.com Tele:925-371.5900 W <br /> Project Name:Manteca Firing Range Project#£8857-02-020 c0 ' <br /> N <br /> Project Location:Manteca,CA P # T E 00 • <br /> 00 <br /> Sampler Signature: .C) 7 .-� j <br /> SAMPLE ID LOSampling a E E M CL — U _ <br /> Location/Field Point Matrix Preservative N C ` c �O O� L C Q C Q <br /> Dntc Timc J Q < V V V P pJ U P a <br /> 3/16/17 (V9 1 S 1 x <br /> 3/16/17 17,2-1 1 S 1 <br /> 3/16/17 ( 74 1 S 1 <br /> 3/16/17 1 7,7A 1 S 1 <br /> 3/16/17 p 1 S 1 <br /> a 3/16/17 233 1 S I 1 <br /> 'j 3/16/17 235 1 S 1 <br /> r` 3/16/17 8 1 S 1 <br /> Q- 3/16/17 is,115 1 S 1 — <br /> C� 3/16/17 Z� 1 S 1 • <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submiucd.maples m concennntions that may cause immediate harm or serious future health endangerment as a result of brief.gloved,open air.sample handling by MAI stair <br /> Non-Aiaclnsnre inns nn immedime 5250 surcharge and the client is subject to full legal liability for horn ndTned.Thank you for your understanding and for allowing us to work salely. <br /> +Ifmclak arc requested for water samples and the water type(Matrix)is not specified on the chain of custody.MAI will dclItu t to metals by 13200.8. Comments/Instructions <br /> Please provide an adequate volume ofsomple.Ifthe volume is not suRicicnt fora MS/MSD a LCS/LCSD will be prepared in its Place and noted in the report. <br /> Relinquished By/Company Name Date Time Received By/Company Natne Date Time l <br /> -/ <br /> -(7 <br /> Ito ` ,71 n <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,W W=Waste Water,SW=Seawater,S=Soil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=40C 2=HCI 3=H2SO4 4=FIN01 5=NaOH 6=ZnOAC/NaOFFI 7=None Temp °C Initials <br /> Pagc73-of- <br /> Page 42 of 44 <br />