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c icn 3,tl ('(')C MAI Work Order 4 <br /> McCAMPBELL ANAL ,INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd,Pittsburg,Ca.94565-1111 Turn Around Time:I Day IZush 2 Day Rush 1 3 Day Rush STD Qu to# <br /> / \ Telephone:(877)252-92(121 Fac:(925)252-9269 J-Flag 1 MDI, CSL Clean Approved Bottle Order# <br /> www.tnccatnpbell.com main awmccampbell.com Delivery Format: I PDF Geo'fracker EDF I EDD I Write On(DW)l I EQuIS <br /> Report To:M.Ibrahim Bill To: U Analysis Requested <br /> Company:GHD Services Inc. _ (� <br /> Email mohamed.ibrahim@ghd.com = t o E a <br /> o . <br /> iL a `o <br /> Alt Email: Tele: o P h u c T s n a <br /> Project Name. 212470-Tracy Chevron Project#:11191863- <br /> Project Location:3 0 Macarth ive,Tracy,CA PO# 11191863-2019-01 a ^ v <br /> Sampler Signature: U SE a = °� L°N + r w E <br /> _a'. V o <br /> SAMPLE ID Sampling = F 5i is y g <br /> 9� r " ray 4 <br /> = Matrix Preservative � ; :; � J — r- n <br /> Location/Field PointDate Time 't _ <br /> U 5 m asta mLa <br /> y <br /> 2 l <br /> ti.:!5* Ito <br /> 1240 <br /> 4 S t3a 0 <br /> C4'5� 12,12- L <br /> �I Y-�a5ta 137 <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitter€sample;in concentrations chat may cause immediate harm or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non-disclosure incurs an immediate 5250 surcharge and the client is subject to frill legal liability for harm suffered.Thank you for vour understat in and for allowing us to work safely. <br /> *If metals are requested for water samples and the realer type(Matrix)isnot specified an the chain of custody,MAI will default t metals by F200.8. Comments/Instructions <br /> P] c Ovide an ade uate volume of sample.Ifthe volume is not sufficient for a MS/MSD a LCS/LCSD will he 4repared in' cc and noted in the report. email results to: <br /> elin ishedBy/Company Name I?at9 Time j Ptfeived 131,/t- mputyName 9"Itei Time mohamed.ibrahim@ghd.e <br /> cristina.alcon@ghd.com <br /> and jeff.cloud@ghd.com. <br /> Matrix Code: DW=Drinking Water,GW=Ground Water,WW=Waste Water, SW=Seawa er,S=Soil, =Sludge, A-Air,WP—Wipe,0=0ther Run STLCITCLP as <br /> Preservative Code: 1=4°C 2=HCl 3=H�SO, 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp °C Initials <br /> R <br /> Page I of <br /> Page 86 of 88 <br />