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MAI Work Order# 21 Q 2�.v <br /> MCCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY <br /> 1534 Willow Pass Rd,Pittsburg,Ca,94565-1701RECORD <br /> ' EAmundTune:I Day Rush 2 DaRttsh 3 Day Rush STD df Quote#Telephone:(877)252-9262/Fax:(92S)252-9269www.mcc bell.co ESL Cleanup Approved Dry Weight Bottle Order# <br /> main a�?�rtccampbell com Deliver Fattnat PDF <br /> ReportTo: �\ Kc-a �' GeoTracker BDF EDD Write On(DW)l Detect Summary <br /> Bill To: DQr,t.Q-\ K"aw,<.�. <br /> Company: ())E-T j,,,LOG I X Analysts Requested <br /> w <br /> a. <br /> Email: SGhe�'�v1e� f IK,cav►Tele• owl--'] —jO -b-131 � M <br /> Project Name: LS - <br /> S -�ar�Pro]Oct#: $ r O <br /> Project Location: (D PO# °i Z $ O <br /> Sampler Signature: '— � • ;; o a g rro fir` <br /> SAMPLE ID Sampling 6 a <br /> a! � o °� a 00 <br /> Location/Field Point Matrix <br /> ate Time preservative aco 14 <br /> $� ' h n <br /> w g LA a C o P <br /> 1 •a p 5 C) Z <br /> aq . <br /> ------------ <br /> x x x <br /> AI clients MUST disclose any dangerous chemicals known to be <br /> on-disclosure incvre an immediate S2S0 sum present in their submitted samples in concentrations that may cause immediate harm or serious future health <br /> barge and the client is Subject to fill legal liability for halm suffered Thank u for work <br /> safely. at as a result of brier gloved open air,sample handling by MAI atafL <br /> If metals are S`O 3"0��01�din8 and for allowing us ro work safely. <br /> 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. <br /> ease Provide an adequate volume of sample.If the volume is not sufficient far a MS/MSD a I.CS/LCSD will be Comments/Instructions <br /> Relinquished By/Company Name in its glace and noted in the nePort <br /> Date74 0 Time 'ved By/Company Name Date Time <br /> atria Code:DW=Drinking Water,uw=U ound Water,WW=Waste Water,SW=Seawater,S=Soil,SL--Sludge,A=Air,WP=Wipe,O=Other <br /> -eservative Code: 1=4°C 2=HCI 3=142SO4 4=IH103 S=NaOH 6=ZnOAc/NaOH 7=None <br /> Temp °C Initials <br /> Pane of <br /> Page 10 o 11: <br />