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General COC <br /> MAI Work Order# <br /> O® MCCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY R1 CORD <br /> WO I534\villow Pass 12d. Pittsburg,Ca.94565-17(11 <br /> 71 r, Around'I'i le:I Day Rush 2 Day Rush 3 1 Ituslt Sl'D • <br /> 'I'cluphone:(877)252-9262/Fax:(935)252-9269 Quote t! <br /> !-Flag/MDL IDSL • Clemut Approved www mewmnbell cam mainGimceamnb elfcon, �` I P raceEoule Order# <br /> Report To:Rick Day Delivery Forma: PDF • GcnTnsekcr FDF <br /> Bill To:Geocon FDD writ[oil(ne'l FQuIS <br /> Company:Geocon Analysis Requested <br /> Email:day@geoconinacom <br /> All Entail:beadle@geoconinc.com �-. <br /> Tele:925371-5900 <br /> Project Name:Manteca Firing Range Project#£8857-02-02 to <br /> Project Location:Manteca.CA +O. <br /> P !! <br /> Sampler Signature: N ^O <br /> ItE 04 <br /> A _ • <br /> C <br /> U 7 <br /> SAMPLE ID SamOpling N E Q •O i— to <br /> Location/Field Point Matrix Preservative, N C ` O C C _ <br /> Date Time v C <br /> 3/16/17 Z 1 S 1 <br /> -) Q Q U U U fV U 1- a <br /> 3/16/17 �Z5— 1 S 1 <br /> 3/16/17 1 S <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S <br /> 3/16/17 1 S 1 . <br /> MAI clients MUST disclose auy danycruus chcmica6 known to he present it their submined samples in cmmcmrmions that may muse immediate harm or serious ful°R health oWnn <br /> Nun-0isclnmre inam nn immedime S?Sn sun hnrge anJ the diem is subject to full Icgnl liability for tum+so0iaed.oni that <br /> Vol fig <br /> Scnnvn as a result of brie[gl°veJ,oMn mr,sample te, for, <br /> MALsmIT. <br /> •Ifmcmis are requested for water samples and the water tyre(Matrix)is not specilied on the chain nfcuslody.MAIrwillydefnWt.tu II by hyrg2lpp�g6 us to work sadly. <br /> Pleur provide an adequme volume ofsample.II'the volume is not sufficiem for a MS/,MSD a LC'S/LCSD will be prepared in its place and noted in the report. Comments/Instructions <br /> Relinquished xy/ otgpany Name Date, <br /> �LA Time Rrccived iv/Company Nano <br /> �6' � � � Date Time, <br /> Matrix Code:DW=Drinking Water.G W=Cround Water,W W=Waste Water,SW=Seawater, S=Soil,SL=Sludge,A=Air. WP=Wipe,O=Odlcr <br /> Preservative Code: 1=4°C 2-1I1CI 3=I12SO4 4=11N0., 5--NaO)1 6=ZnOAc/NaOI1 7=None <br /> Temp °C Initials <br /> Page 7 of <br /> 7— Page 43 of 44 <br />