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General COC <br /> MAI Work Order# 140� �(3% <br /> ® MCCAMFBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush 12 Day Rush 3 Day Rush STD Quote# <br /> WO Telephone:(877)252-9262 1 Fax:(925)252-9269 J•Flag t MDL ESL Cleanup Approved Dry Weight Bottle Order# <br /> www.rnccampbell.com main_,mecampbell.com Delivery Format: PDF GeoTracker EDF EDD Write O (DW) rlw—1 5utrunary <br /> Report To: kovill MU r ,n Bill To: -Tout Mark: r1 Analysis Requested <br /> Company: es'ii. JlssocscS2s <br /> Email: 17S as%cctaw Nowt <br /> AltEmail: MAw�aro-m:cn� lcass�v�•125.corKTele: 91(r S[ aIZZ <br /> a <br /> Project Name: Siy.kia+ l t- Qr� Project#: E2rbl6 al F n <br /> Project Location: SiOc C_A PO# C2-'01 ae Z <br /> Sampler Signature: 27� c,•� ,e�9e E <br /> SAMPLE ID Sampling tit <br /> Matrix Preservative 4,b <br /> Location/Field Point Date Time $ <br /> 2.� tine <br /> 6 -��, C lv' � 3� S Nou•� <br /> 13 <br /> rry 30 e t l f 0"1 <br /> �I' 1 2 S NQAe <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate Kann or serious future stealth endangetmem as a result orbrief,gloved,open air,sample haMling by MAI staff. <br /> Non-disclosure incurs an immediate S250 surcharge and the client is subject to Lull legal liability for harm suffered.Thank you for your understanding and for allowing us to work safely. <br /> •If metals are 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. Comments!Instructions <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MSIMSD a L,CSIL.CSD will be prepared in its place and noted in the report. C S 2C I�a �rJlr„nrten <br /> Relinquished By I Company Name Date Time Received By/Company Name Date Time �� r RL it mij L <br /> Z U e7ll <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil,5 ludge,A=Air,WP=Wipe,O—Other <br /> Preservative Code: 1=4'C 2=HCI 3=H'SO4 4=1-INO3 5=NaOH 6=Zn0Ac/Na0H 7=None Temp °C Initials <br /> trt-�+r <br /> Page of 3 <br /> Page 71 of 75 <br />