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�Ilr ..i <br /> 1534®� McCampbell Analytical, Inc. :www.ml apbssRoad,Piesbarg,CA 94565-1701aasbel <br /> Web:wwwmccmnpbelLcom E-mail:maioCrJ,mccampbell.wm <br /> "When Owliw Covets" I Tele hove:877-252-9262 Fax:925-252-9269 <br /> Sample Receipt Checklist <br /> Client Name: ETIC Date and Time Received: 10/512007 6:28:40 PM <br /> Project Name: Sara Lee- Airport Checklist completed and reviewed by: Ana Venegas <br /> WorkOrder N°: 0710257 Matrix Soil Carrier: Client Drop-in <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes © No ❑ <br /> Chain of custody signed when relinquished and received? Yes © No ❑ <br /> Chain of custody agrees with sample labels? Yes 0 No ❑ <br /> Sample IDs noted by Client on COC? Yes ® No❑ <br /> Date and Time of collection noted by Client on COC? Yes No ❑ <br /> Samplers name noted on COC? Yes © No ❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> EO <br /> Shipping container/cooler in good condition? Yes © No ❑ <br /> Samples in proper containers/bottles? Yes N❑ No ❑ <br /> Sample containers intact? Yes ® No❑ <br /> Sufficient sample volume for indicated lest? Yes 21 No ❑ <br /> Sample Preservation and Hold Time(HT) Information <br /> All samples received within holding time? Yes Z No ❑ <br /> Container/Temp Blank temperature Cooler Temp: 23.4°C NA ❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes ❑1 No ❑ <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No ❑ NA <br /> ————————————————————————————————————————————— <br /> ————————————————————————————————————————————— <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br />