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SHal oJnV\I e!Pnei0 McCAMPBELL ANALYTICAL, INC.
<br />Matrix Code: DIV=Drinkine Water, GW-Ground Water, WW=Waste Water, SW=Seawater, SL=Sludge, A=Air, WP=Wipe, 0=Other Preservative Code: 1=4°C 2=HC1 3=H 2 SO4 4=HNO3 S=NaOH 6=Zn0Ae/NaOH 7=None
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<br />MA) Work Order
<br />CHAIN OF CUSTODY RECORD
<br />0)34 Willow Pass Rd. Pittsburg, Co. 94565-1701 \M_Mir*
<br />Telephone: (877)252-9262 / Fax: (925) 252-9269
<br />WWW MeCattlphol I an: rnainqsnecamphell.com Report To,
<br />Turn Around Tsme I Da Rush X12 Day Rush( 3 Day Rush
<br />1.13ag( MOI..1 ESI. Cleanup Approved Dry Waght I
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<br />1 /cheery Format PDF GeoTracker PDF EDI, V•etnc on (DWI 1 ITCACCI sularnaryl Bill To: C7ornpany: , Analys s Requested ,..„,...„. ni
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<br />Address: qc,,,,_v___. 4-e0C 1-,30•M C var 0
<br />Project Name; 4, “, , i 4-,-- Pc, 1 Z./ Project 4: Project Location: PO 4
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<br />SAMPLE TT.) Sampling
<br />Matrix Piese,wils, Location / Field Point Date Time
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<br />31AI clients MUST duel°ar any dangerous chemicals know Intro present in Men- submitted samples in concenostions that may caute inntwii.n. 1,....,..... —..: — — • • • en tm sa c wrc arge t icnt to sub,cet 50 6:11 legal liability for harm wffered Thank you thr your =der...ding and for allowing us so work safely.
<br />angcrinent as a =sit gloved, open air, sample handhng by MAI staff
<br />If metals am rt. sic led for -ater samples and the wale type (Mains) not specified on the chain of custody, MA) will default to ne/ala by E200.8 leave pier ode an adequate volume of sample. If the volume 10 001 bulllcseol for a MS.. sr, a LCS/LCSD will bc prepared in its place and noted in the report. Relmquished By. Company Name Date j Time
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