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General COC MAI Work Order# <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O 1534 Willow Pass Rd,Pittsburg,Ca.94565-I 70l Turn Around Time:I Day Rush 2 Day Rush 3 Day Rush STD 0 Quote# 233209 <br /> Telephone:(977)252-92621 Fax:(925)252-9269 1-Flag l IvtDI. 0 1 ESL Cleanup Approved Dry Weight Bottle Order# <br /> m w%%,w, ccampbell.con1 main4niccampbell.com Delivery Format PDF GcoTrackcr FDF 0 EDD I CLIP EDT(DW) I Detect Summary <br /> Report To:Tony Martin Bill To:Tony Martin Analysis Requested <br /> e Y •�Company:BSK Associates <br /> �, C <br /> H o x o <br /> v o @ C m Email:tmartin@bskassociates.com <br /> All Email: Tele:(916)517-2122 or(916)853-9293 _ m m a <br /> m ttoo U <br /> cli <br /> Project Name:SCK Project#: E2001601 F.004.002 m a E N Q <br /> Project Location: PO# E2001601 F.004.002 C' c cr <br /> 5 LL y <br /> Sampler Signature: �' e p O ¢ N <br /> t it 0 �-' � <br /> SAMPLE ID Sampling F f� a 3 a <br /> Matrix Preservative COn 0 <br /> Location 1 Field Point L0 M at v L <br /> f7atc Time W w a > cal <br /> /Vkw s` 611VIA q02, 1 N X <br /> MAI clients MUST disclose any da gerous chemicals known to be present uI their submitted samples in concenuation y cause Immediate h�rnt or senous 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 lull legal liability for harm suffered.Thank}nu for your understautl:ns and for allowing its to work safely. <br /> •If metals arc rcquesied 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 I Instructions <br /> Please provide an adequate volume ofsample-If the volume is not+nfficicnt for a MS/MSD a I.CSILCSD will be prepared in its place and noted in the report. need j-flagged levels, <br /> Relinquis d FS /Cumpany Name Date Time Received By/Company Name DatC Time gee required levels <br /> Are3 ` "Q (attached). GeoTracker <br /> -L-13-24 12ZP1D#T10000012778. <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=HC! 3=112SO4 4-11NO3 5=NaOl-I 6=ZnOAc/NaOII 7=None Tcmp °C Initials <br /> Page 1�of,)- <br /> Page 25 of 27 <br />