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General COC MAT Work Order# Lat o S <br /> McCAMFBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd,Pittsburg,Ca,94565-1701 Turn Around Ti Inc:I Day Rush 1 2 Day Rush 1 3 Day Rush STD fR Quote# 233209 <br /> Telephone:(877)252-9262/Fax:(925)252-9269 ]-Flagimm- 0 ESL Cleanup Approved Dry Weight I Bottle Order# <br /> WWW.Mccatrlpbell.com main(epnccalnhbell.eont Delivery Format: PDF I GcoTnckcr EDF • EDD I CLIP l D`f(DW) I Detect Summary <br /> Report To:Tony Martin Bill To:Tony Martin Analysis Requested <br /> Company:BSK Associates N <br /> a x <br /> o C - - o <br /> c o m ca <br /> Email:tmartin@bskassociates.com � a & m tp <br /> Alt Email: Tele:(916)517-2122 or(916)853-9293 R3 o m mo <br /> Project Name:SCK Project#: E2001601 F.004.002 00 v e }_ m <br /> CL 2 _L <br /> Project Location: PO# E2001601 F.004.002 = M 3 LL <br /> Sampler Signature: s LU +j O a y ' <br /> t >a a m <br /> SAMPLE ID Sampling I` a — � � <br /> Matrix Preservative n 1E w <br /> Location/Field Point Bate Time tv a) IU 0 <br /> LL.I Lo d o < <br /> AA CS1(. <br /> M 2sI ��2 <br /> MAI clients mus'r disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate harm or serious future health endengermeat 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 full legal liability for harm surrered.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 specified on the chain of custody,MAI will default to metals by E200.8. Cpmments I Instructions <br /> Please provide an adequate volume of sample.If the volume is not sul*11wiem for a MS MSD a LCS/LCSD will be ptepared in its place and noted in the report. need j^flagged levels, <br /> Relinquish d Tk I Company Name Dat Time Received By/Company Name Date Time See required levels <br /> 4mt CX� (- U HC' e 9 05' (attached). GeoTracker <br /> z Z 3b '2- 1D#T 100000 12778. <br /> Matrix Code: DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil, SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=4°C 2=11CI 3=H2SO4 4=HNO3 5—NaOH 6—Zn0Ac/NaOI 17=None Temp 2- oC Initials <br /> W <br /> Page—1 of <br /> Page 24 of 27 <br />