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General COC MAI Work Order# <br /> K ® McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> O 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time;l Day Rush 2 Day Rush 1 3 Day Rush STD • Quote# 233209 <br /> 'Telephone.(877)252-9262 I Fax:(925)252-9269 J-i%,/MDLj • F.SL Cleanup Approved Dry Weight Bottle Order# <br /> wIIrnv.mccampbell.com main((—vnic camp lie ll.con t Delivery Format: PDF GenTrackcrEDF 0 ED❑ I CLIP EDT(DW) I Detect Summary <br /> Report To:Tony Martin Bill"IV Tony Martin Analysis Requested <br /> Company:BSK Associates w a N o <br /> a C y <br /> Email:tmartin@bskassociates.com a m @ w <br /> Alt Email: Tcle:(916)517-2122 or(916)853-9293 m m m � <br /> O e � � m U <br /> Project Name:SCK Project#: E2001601 F.004.002 m a E Q_- W cka <br /> �. <br /> Project Location: PO# E2001601 F.004.002 ` 5 u H <br /> v <br /> Sampler Signature: ~ a I W O O a <br /> t E t 0 0 a m <br /> SAMPLE ID Sampling F ti a $ � "', <br /> Matrix Preservative CM rC `C H <br /> Location/Field Point Datc Time r) F °} W a) o a <br /> W �, t1 t1 fZ > U <br /> U k <br /> MAI clients MUST dlSelUSC any dangerous chemicals known to he present in their submitted samples in concentrations chat may cause immediate harm or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non-disclosure incurs an immediate S250 surcharge and the client is subject to full 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 1,200.8. Comments I Instructions <br /> Please provide an adequate volutrtc of'sarnple.ICthe volurne is not suflicicnt Cur a 11S/MSD a LCSl1.(:SD will be prepared in sus place and noted in the report. need j—flagged levels, <br /> Relinquished By Company Name Date Time Received By I Company Name Date Time See required levels <br /> + Z (attached). GeoTracker <br /> # T10000012778. <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil,S Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=4°C 2=1-tC1 3=1­12SO4 4=11NO3 5=NaOl l 6=ZnOAc/NaOH 7—None Temp "Cy Initials <br /> Page_of <br /> Page 23 of 25 <br />