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General COC MAI Work Order,J —�-� <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow I'ass Rd.I'ittsburg,Ca.94565-1701 Iwn Atound Tintc I Day Rush 2 hay Rush 3 Day Rush STD Quote'd <br /> It"10* <br /> Telephone:(877)252-9262/Fax:(925)252-9269 t rt.,F aan. l:.sl, Clcanup Appn+ved Drc Weight I Bottle Order# <br /> www.mccamt)bell.com main0mccampbell.com Deliver)Format: PDF I GcoTracker IJ)F FDDJ I write On([)\k')l I Deicer suinniary <br /> Report To:TAMARA WOODS Bill•l'o:MACY HUMPHREY Analysis Requested <br /> Contparly:TERRACON CONSULTANTS INC +' <br /> Email:TAMARA.WOODS@TERRACON.COM <br /> Alt Email: Tele: 209-712-7159 W <br /> i.n <br /> Project Name:BUDDHIST TEMPLE Project Jt: NA177056 z <br /> Project Location:11253 N.T RNTON ROAD,STOCK NPO JJ <br /> . Q <br /> to <br /> Sampler Signature: n%- ,�'; !L y w W <br /> SAMPLE[D Sampling _ Q a_ <br /> Location'Field Point Matrix t'i,>r'i,,t ,c I I I- m <br /> Date 'time _ Z 0 <br /> GW-1 5-9-2018 'q:1q 1 GW <br /> GW-2 5-9-2018 ,A3 2 GW <br /> TRIP BLANKS ' 2 <br /> MAI clients Ml IST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate harm or serious future health endangerment as a result of brief,gloved,open air.sample handling by MAI staff. <br /> Non-disclosme incurs an immediate$250 surcharge and the client is subject to full legal liability for harm sufTeted Thank.you for your understanding and for allowing us to work safcl% <br /> ' Il metals are requested for water samples and the water type(Matrix)is not specified on the chain ofcustcxly.MAI will default to metals by E200 R. Comments/Instructions <br /> Please provide an adequate volurne ofsample.If the volume is not sufficient for a MS/MSD a LCS/LCSD will be prepared in its place and noted in the report <br /> Relinquished By/Company Name D;uc Time Received By/Company Name Date 'funs <br /> N4 <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: 1=4°C 2=HCI 3=H,SO.i 4=HN0; S=NaOH 6=Zn0Ac1N1a0I l 7=None Tenip °C Initials <br /> Page_of <br /> Pan 10 of l <br />