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General COC MAI Work Order# Ibi <br /> � L <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around"I'ime:1 Day Rush 2 Day Rush 3 Day Rush I STD) 0 1 Quote#1 233209 <br /> 'Telephone:(877)252-92621 Fax:(925)252-9269 t-Flab r MIDT16 I IiSL Cleanup Approved Dry Weight Bottle Order 0 <br /> www.mccanipbell.com tllalnkrmccam17t7ell.corn Delivery Format: PDF G,,)Tr,:k,:,LDF * F.DD CLIP ,DT(DW) Detect Summary <br /> Report To:Tony Martin Bill To:Tony Martin Analysis Requested <br /> Company:BSK Associates x N <br /> o C Y o <br /> Email:tmartin@bskassociates.com $ a m 23 M QD <br /> 0 <br /> Alt Email: Tele:(916)517-2122 ar(916)853-9293 o C Gom m <br /> p J <br /> Proj ect Name:SCK Project#: E2001601 F.004.002 m Q E d m U <br /> _O <br /> Project Location: PO# E2001601F.004.002 LL H t~n <br /> Sampler signature: v'i nCr <br /> ` ` g <br /> O <br /> SAMPLE ID Sampling a b a <br /> m 3 <br /> Matrix Preservative C�Lo N <br /> Location 1 Field Point Date Tilne W w a tco i Q- 0- ° <br /> FtelA Nook OMB-1- <br /> Mw-3 1 I go w <br /> Rdd1AnV� el�u- <br /> 7r',Q NAnK <br /> �- 1(ArK _ X <br /> MAI clients MUST disclose any dangerous chcnncalN known to be present in their submitted samples in concentrations that may cause immediate harm or St:riOUS fatttrc health crtdangcrtnent"a result of line!;gloved,open atr,sample handling by MAI staff. <br /> Non-disclosure incurs an irmnediate$250 surdiai ge 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 rnetals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,MAI will default to metals by 1:200.9. Comments I Instructions <br /> Please provide an adequate volume ol'sample.irthe volume is nut sufficient fora MSIMSD a LCS/LCSD will be prepared in its place and noted in the report. need j-flagged levels, <br /> Relinquished By I Company Name Date Time Received By/Company Name Date Time See required levels <br /> - r 4_ rz� (attached). GeoTracker <br /> D#T10000012778. <br /> Matrix Code: DW=Drinking Water,G ,W=Ground Water, WW—Waste Water,SW=Seawater,S=Soil,S Sludge,A—Air, WP=Wipe,O—Other <br /> Preservative Code: 1=4°C 2=11CI 3=112SO4 4=HNO3 5=NaOl l 6=ZnOAc/NaOH 7=None Temp k °C initials <br /> VJ' 1 <br /> Page_of� <br /> Page 30 of 32 <br />