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General COC MAI Work Ord er# <br /> 2�� 4 2s6 <br /> O McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd,Pittsburg,Ca.945fi5-1701 Turn Around Time:I Day Rush 2 Day Rush 3 Day Rush STD • Quote# <br /> Telephone: (877)252-92621 Fax:(925)252-9269 3-Fhg/MDL ESL Cleanup Approved Dry Weight Bottle Order# <br /> www.mccampbell.com main(b�mccampbell.com Delivery Format: I PDF GeoTracker= EDD I Write On(DW) I Detect Summary <br /> Report To: Kathy Hieb Bill To:See Below Analysis Requested <br /> Company:California Department of Fish and Wildlife <br /> s E m <br /> Address:2109 Arch-Airport Rd. Suite 100. Stockton, CA 95206 <br /> Email:kathy.hieb@wildlife.ca.gov Tele:209-234-3484 ° <br /> Project Name: Project#: (u <br /> Project Location: PO# _ <br /> en o c <br /> U w L� u a, <br /> Sampler Signature: E E _ N e <br /> 9 � a b y 00 <br /> Sampling u F _ <br /> SAMPLE ID - 7' d - r _ N Q <br /> Matrix Preservative yi c - L t v <br /> Location/Field Point < E <br /> < e e ¢ _ w <br /> Date Time U F G - - > > > r. <br /> O m F vi F •r, F vi r L = i L-' tr] W [.: [i J L G7 .� <br /> Ci Tank A (3,000 gallon tank) 07/0712020 10:43am liquid • <br /> (4) Tank B (1,000 gallon tank) 710712020 10:48am liquid • <br /> MAI clients MUST disclose any dangerous chemicals known to be present in Ihcir submiucd samples in conecniratiuns that may cause immediate horn or serious future I}calth endangerment as a resuh of brief,g1mcd,open air,sample handling by MAI staff: <br /> Non-disclosure incurs an immediate$250 surcharge and the client is subject to hill legal liability for harm suffered.Thank you for your understanding and for allowing us to work safely. <br /> •Ir metals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,MAI will default to metals by E200.8. Comments I Instructions <br /> Pleasu provide an adequate volume of sample.If the volume is not sufficient for a MS/MSD a LCSrLCSD will be prepared in its place and noted in the report. <br /> Relinquished By/Company Name Date Time Received By/Company Name Dattye Time <br /> Na01 gQA�_ (4 iv-- —I I A� <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil,SL=Mudge,A=Air,WP=Wipe,O=OtherA. <br /> Preservative Code: I=4°C 2=HCI 3=H•,SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp 44, °C Initials <br /> Page_of <br /> Page 8 of 9 <br />