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General COC' MAI Work Order fi 2-010-7 <br /> MCCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O ' <br /> 1534 Willow Pass Rd. Pittsburg.Ca.94565-1701 1 u Around bone:I Day Rush 12 Day Rush 3 Day Rush till) 0 QUolc 0 <br /> �O <br /> Telephone:(877)252-9262/Fax:(925)252-9269 3-1 lav Non. rsl_ Cleanup npprovai Dry WcicM I Roltle Order 4 <br /> wxN4Ay.Inccalnpbcll.cont 11Tlllli(1 mccampbell.com Del iccn•I-onmi PDh Geo-Fracker 1{DF FDD I Wine On(DW) I Detect sunuttan• <br /> Rcporl To:TAMARA WOODS Rill To: MACY HUMPHREY Analysis Requested <br /> Company:TERRACON CONSULTANTS INC <br /> O <br /> Email:TAMARA.WOODS@TERRACON.COM cCD <br /> Alt Entail:TONY.MIKACICH@TERRACON.COM Tele: 209-712-7159 w <br /> Project Name:Shipherd Property Prc>jcct#': NA207060 Z <br /> Project Location:10966 E. Mariposa Rd, Ripon, CA PO < LO <br /> Q W <br /> Sampler Signature: W <br /> Sampling - ' <br /> SAMPLE 1D = fy_ U <br /> Matrix Prsenalice 1-- <br /> Location ,'Field Point F)atc Time <br /> Z 0 <br /> V/IGW-1 (Well #1) 7-31-20 9-.52 1 GW • <br /> GW-2 (Well #1) 2 GW ACII>N@t;0.111Ut • <br /> TRIP BLANKS 2 <br /> MAI clients MUST disclose any d;mgenars chemicals km-ii to he present in their submitted samples in concentrations than rimycause immediate harm or scrims,hilure health endangemuent as it result of brief:gloved.open aur.<ample handling by MAI stall <br /> Non-disclosure incurs an immediate S'Sn surcharge and the client is subiect to hill Iceal liabilitc for harm lif Bred.Thank you I-or your underst:mdinc and for alk m nuc its to%cork satch <br /> 11 metals arc requested lir nater samples and the water tN•pe I Matrix)is not specified on the chain of custody.MAI Mall dctaull to metals by F201).8. Comments Instntcuons <br /> Please provide ait adequate volume of sample.If the volume is not sufficient fora MS MSD a LC'SICSD will he prepared in its place and noted to the report. <br /> Rclinquishal Ry (ompanv Name Date Time Received By Company Name Date Time <br /> wlv'm <br /> 7,1 Z_' i j 5 i <br /> Matrix Code: DW=Drinking Water.GW=Ground Water,WW—Waste Water.SW=Seawater. S=Soil. SL—Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: l=4°C 2=HC'I 3=1-I,SO4 4=HNO, 5=NaOl-I 6=ZnOACNa0I-I 7—None Temp °C Initials <br /> i <br /> Page P\ageo410 <br />