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General COC MA! Work Order # <br />McCAMPBELL ANALYTICAL, INC. \K ,, CHAIN OF CUSTODY RECORD <br />1534 Willow Pass Rd. Pittsburg. Ca. 94565-1701 tom Around Time I Day Rush 2 Day Rush' 3 Day Rush STD I Quote 0 <br />Telephone: (877) 252-9262 / Fax: (925) 252-9269 .1-Flas / AM ESL Cleanup Approved Dry NVeight Bottle Order # <br />WWW.mccampbell.com main@mccampbell.com I telively Format. PDF Getaracker MI EIM) Write On (DW) Dekci Summary <br /> ....— <br />Report To: TAMARA WOODS 13111 To: MACY HUMPHREY Analysis Requested <br />Company: TERRACON CONSULTANTS INC .`". <br />Email: TAMARA.WOODS©TERRACON.COM <br />d <br />,D <br />CO <br />Alt Email: Fele 209-712-7159 ill <br />Project Name: BUDDHIST TEMPLE Project II: NA177056 <br />I <br />Z <br />CO <br />-zi- <br />Project Location: 11253 N. TORNTON ROAD, STOCK3ON PO <br />u) <br />< <br />(NI <br />LC) <br />Sampler Signature: i"-e-c, ,./71:12,1.------- Lu U..1 <br />SAMPLE ID Sampling <br />Matrix Pr,,,, \ :do., j DBCP Location / Field Point Date Time <br />F_rY <br />— 1 <br />Z GW -1 5-9-2018 AlliC.Ve1 GW <br />/ <br />[ <br />(* <br />GW-2 5-9-2018 41rAl 2 GW <br />TRIP BLANKS <br />H <br />— <br />MAI clients MUST disclose any dangerous chemical. kii,ii to be present in their submitted samples in co leentrations that 'nay cause in mediate harm Or serious future heal h enda igerimmt as a result of brief, gloved open air, sample handlmg by MAI stall <br />Non-disclosure incurs an immediate $250 surcharge and the client is subject to full legal liability for harm suffered Thank you for your understanding and for allowing Us in work safely. <br />If metals are requested for water samples and he water type (Matrix) is not specified on the chain of custody. MAI will default to metals by E200 8. Comments/Instructions <br />Please provide an adequate volume of sample. If the volume is not sufficient for a MS/MSD a LCS/ILCSD will be prepared in its place and noted in the report <br />Relinquished By / Company Name Date Time ---, Received By / Company Name I ).lic I 1 sic <br />Matrix Code: DW=Drinking Water, GW=Ground Water, WW=Waste Water, SW=Seawater, S=Soll, SL=Sludge, A=Air, WP=Wipe, 0=Other <br />Preservative Code: I=4°C 2=HCI 3=H2 S0.1 4=HNO3 5=NaOH 6=Zn0Ac/Na01-I 7=None Temp q C Initials <br /> <br />Page of <br />Pan 10 of I