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General COC <br /> MAI Work Order# NO t <br /> ' ® McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush 12 Day Rush 3 Day Rush STD Quote# <br /> W� Telephone:(877)252-9262/Fax:(925)252-9269 3•Fla91 14 ESL Cleanup Approved Dry Weight BOttle Order# <br /> www.mccampbell.com matn47a,tnecampbell.eom Delivery Format: PDF GeoTrackar EDF FDD Write On(DW)l I Detect Summary <br /> Report To: 1 Hill To: Ion rnGfA:�-) Analysis Requested <br /> Company: 135 1455v Una -3 <br /> Email: 'Tn,,%r*,) 0- l3)LA35tpe rx <br /> s <br /> Alt Email: M 0,,,+Gfia rr i e n e l,_44 SS uc.a J_[oMTele: tll r(a 57f-7 o'it 2Z <br /> 0 <br /> Project Name: Sox e k-JoA A,ZE1 PF►;9 Project t!: <br /> Project Location: 54tac PO#CZ-�/ F_ Dac/•C.'o'Z_ <br /> Sampler Signature: d�Ci. cr: t <<� <br /> Sampling <br /> SAMPLE ID a <br /> c Matrix Preservative r, <br /> Location/Field Point Date Time U <br /> Q- 3 1 e r ' t 4:0a 9sd S Nan <br /> 13 -3, 10-s ' 9 s3 <br /> 3l +? IQt 5sz, S scone <br /> 8-32 I ' /O;z5 <br /> /O.V� <br /> - 33e1 I /ate <br /> l3 • 3 3 �' S' �o S 3 � Neme �; <br /> Q - 33 e 1-0' /o 5-5- SC <br /> MAW clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate Kann or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non disclosure incurs an immediate$250 surcharge and the client is subject to bill 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 F200.8. Comments/Instructions <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MSIMSD a LCS/LCSD will be prepared in its place and noted in the report. See <br /> Relinquished By/Company Aflame Date Time R eived By/Company Name Date Time <br /> Loa-, A, <br /> r Z3 <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water, SW=Seawater,S=Soil, -Sludgc,A=Air,WP=Wipe,O—Other <br /> Preservative Code: 1�4°C 2=HCI 3—HISO4 4=1 NO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp °C Initials <br /> Page o2 of 3 <br /> - Page 72 of 75 <br />