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General COC MAI Work Order# <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd-Pittsburg,Ca.94565-170i Turn Around Time:l Day Rush 2 Day Rush 3 Day®Rush STD • Quote# 233209 <br /> Telephone:(877)252-9262/Fax:(925)252-9269 3-Flag/Mnt. • ESL Cleanup Approved eight Bottle Order#wut tr.mccamuhc l.com nwin rnlccaml6cil-ern3t DclivcryForma[: PDF GcoTrackcrEDf • rDDCLIPrDT(DW) Delccl5urnmary <br /> Report To:Tony Martin Bill To:Tony Martin Analysis Requested <br /> Company:BSK Associates �, o Y y o <br /> J y <br /> Email:tmartin bskassociates.com o S m c6 g <br /> Alt Email: Tele:(916)517-2122 or(916)853-9293 E a m m in a <br /> Project Name:SICK Project#: E2001601 F.004.002 m Q E CL o C <br /> Q) U <br /> CL <br /> Project Location: PO# E2001601 F.004.002 <br /> O` m 3 <br /> Sampler Signature: it `o UJ CS <br /> ' a <br /> SAMPLE ID Sampling ti a ; <br /> a <br /> Location 1 Field Paint a Matrix I'rescrvativc 'E <br /> Date Time n L� w E fl o U <br /> �4 Gnr �- <br /> �', trPn'� c1p <br /> T; 11� ct rt 3 <br /> MAI clients MUST disclose any dangerous chemicals known to he present in thei i submilted samples in concentrations that may cause imm"hate harm or serious fissure health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Nondisclosure incurs an immediate$250 surcharge and the client is subject to IhlI icgal liability far 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 E200.8. Comments/htstructiuns <br /> Please provide an adequate volume of sample-If the volume is not sufficient for a MSIMSD a LCSILC5D will be prepared in its place and noted in the repon. need I-flagged levels, <br /> Relinquished By I Company lame Date Time Received By/Company Name Date Time See required levels <br /> G0`, A Z - 11-2 (attached). GeoTracker <br /> 41� 4D#T10000012778. <br /> Matrix Code: DW=Drinking Water,GW=Ground Water, WW=Waste Water,SW=Scawatcr, =Sail, SL— udge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: l=4°C 2=HC1 3=112SO4 4=I-IN03 S=NaOII 6—ZnOAC/NaOH 7=None Temp °C initials <br /> Page_of <br /> Page 29 of 31 <br />