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3400 MacArthur, Tracy , CA Record ID SR0080210 <br /> 5 -9-2019 Program -, UST <br /> PHOTO # 21 : <br /> - -- - <br /> . 0 <br /> Ill 1 ':•.. ' L r; . Order <br /> 1'�IcCAMP13ELL ANALYTICAL, INC. CHAIN OF CUSTODY" RECORD <br /> _, -�1 'f,� t .1\' I �l�j <br /> :: RJ. PitMlurg. Ca. !lath i_ t 701 <br /> It'IePhnno: ( \ _ - ) lU r�uote i <br /> turn Aruund Timn hc I D• Ru,. 2 Ds F. nl, 3 rm•:_ Ru:h . <br /> •• <br /> - 1 1 ' h' 1 order <br /> tZ l' 'y— u�, n nt 'C•m , bell c✓ m I-rl.0 f. iDL GSL r'te.lnuP <br /> I?s ri Tt , ,� • — --._L' m un , m - un I _ - <br /> ,oralvn --1' -- nchtcr, r ,rmnr PDP ccolracl.cr ;Dr t :�G <br /> rot^17�m_, : GHD S'en ;ces Inc. Bill To ; <br /> L^1uil: Anaiysi� R.equecteti <br /> 91 mOh�med. ibrahim90d.com <br /> Pmicet `dam 212470-Tr e _ — <br /> .. S 8 t : <br /> hrn1ect <br /> " 12470-Tracy Chevron Project 1; 11191863- = `_ ? ' _ M <br /> LocatlOn ; 3 00 Mac r r �_ — yd sl O <br /> Carl D �`y CA PO ifi 11191863-2019.01 _ _ v I, <br /> pier Signature: - �1 <br /> 1 - - = _ _ ti ! _ - --. <br /> _ Lp AV . <br /> J SAMPLE ID SamplinLpl 12 U <br /> ( Location <br /> Field Point ° = ' - - - <br /> Matrix Preservative R R o v _` <br /> Date Time _ - <br /> a <br /> rz _ - <br /> � <br /> ! <br /> I i i <br /> i I <br /> - --;- t ! <br /> UST <br /> on1 clianis main disclose any rlangcrnns chemical: l:nnw'n to he pa`uni in their submitted samples in concentrations that mar cause immcdiale harm, or serious future health endangerment as a result of 11 <br /> i I <br /> Non-di-celo^.urc coeurs an immediate S250 surcharge and rhr client ie suhiect to full lewd liability for ham, suffered Think you forynur understanding and for allowing us to work safch•. <br /> • If metals are requested for %%alrr samples and the Hafer l}•pc ( A4alris) is not specified on the chain nfcustody. MN Will default to ing an h EMO. 8 , <br /> brief. gloved, of cn air, sample handling by MAI gaff. <br /> !'lease provide an adequate rolumc of sample. Il'the volume ie not sufficient for a NIS/MSD a LCS/LCSD twill be prepared in its place and noted in the report. <br /> y _OO. S . P : n n z ' In- trucuons ' <br /> Relmnft hcd13v / CompanvNamc <br /> Date TimeReccivcdQy / CompativNamc email results to : <br /> gate Time <br /> Mohamed , ibrahim@ghd . e <br /> om : <br /> PIER <br /> lun <br /> ristina . alcon @ghd . comv4atrix Code: DW=Drinking Water, GW=Ground Water, WWSC1Wat` ) = nd jecon <br /> .Preservative Code: 1 =4°C 2=HCI 3=H, S0 , 4= HNO3 5=Na0H 6=Zn0Ac/Na0H 7=Noneudz , A—Alt, 1p= ulpe, O=Other STLC; TCLP aS <br /> Tem `C Initial. <br /> I <br /> F;� ce or <br /> Elena Manzo , REHS Page 21 of 22 <br />