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I <br /> General COC MAT Work Order# <br /> McCAMPSELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd. Pittsburg,Ca.945 65-1 70 1 Turn Around Time:I bay Rush 2 Day Rush 3 Day Rusts STD 4D Quote# 233209 <br /> Telephone:(877)252-9262/Fax:(925)252-9269 I-FI.g/MDLj • TSL Cleanup Approved Dry Weight Bottle Order# <br /> vvxvNv.meeamhhell.eom main rUmeeamnbell.eom Delivery Format: I PDF I GenTrackcr EDF • EDn I CLIP EDT(DW) Dclect Summary <br /> Report To:Tony Martin Bill To:Tony Martin Analysis Requested <br /> Company:BSK Associates v o Y J <br /> Email:tmartin@bskassociates.com a a <br /> in <br /> 0 <br /> Alt Email- Tele:(s16)51 -2122 or(916)853.9293 Ca E ED m a <br /> Project Name:SCK Project#: E2001601 F.004.002 m v V E 0- m tz <br /> N <br /> Project Location: PO# E2001601 F.004.002n—L- c � a LL H n J <br /> 0- <br /> Sampler Signature: Z W y <br /> t 3 <br /> t l' � 0 d <br /> m S 3 w m <br /> SAMPLE ID SamplingCS <br /> Matrix Preservative <br /> Location/Field Point "' E 0 W o a <br /> I3atc Time `s W w fl 0- 0- > <br /> 4-1 v3 33 <br /> MAI clients MUST disclose:my dangerous ct.crnc�3ls known to be present in their submitted samples in concemrations that may cause immediate hai m or serious future health endangermcut as a result of brncl;gloved,open air,sample handling by MAI sta0'. <br /> Ion-disclusure incurs an immediate$250 surc}iarge 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 /> II'metals are requested for water samples and the water type(Matrix)is not speci ficd on the chain of custody,MA]will default to metals by F 200.6. Comments!Instructions <br /> ]'lease provide an adequate volume of sample.If the volume is no:sufficient for a\lS/.L1SD a LCSlLCSD will he prepared in its place and sorted in the report. need _flagged levels, <br /> Rclin ished y!Company Name Date Time Received By/Company Alamo Daic Time See required levels <br /> utm 90;�Zfl (attached). GeaTracker <br /> ID# T10000012778. <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water, SW=Seawater, S=Soil,SL=Sludge,A=Air, WP�Wipc,O=Other <br /> Preservative Code: 1�4°C 2=HCI 3—H2SO4 4=HNO3 5=NaOH 6=ZnOAc/Na011 7—None Temp °C Initials <br /> Page '� of <br /> Page 28 of 30 <br />