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1534 Willow Pass Road, Pittsburg, CA 94565-1701 McCampbell Analytical, Inc. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 "When Quality Counts" I http://www.mccampbcll.com / E-mail: main@mccampbell.com Sample Receipt Checklist Client Name: Environ Date and Time Received: 10/13/2014 6:50:15 PM Project Name: #03-35814A; 44 Energy Technologies, Inc. Login Reviewed by: Jena Alfaro WorkOrder Ns: 1410467 Matrix: aqW Carrier: Daniel (MAI Courier) Chain of Custody _(COQ Information Chain of custody present? Yes 0 No ❑ Chain of custody signed when relinquished and received? Yes No ❑ Chain of custody agrees with sample labels? Yes No ❑ Sample IDs noted by Client on COC? Yes No ❑ Date and Time of collection noted by Client on COC? Yes 141 No ❑ Sampler's name noted on COC? Yes W No ❑ Sample Receipt Information Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA ❑d Shipping container/cooler in good condition? Yes W No ❑ Samples in proper containers/bottles? Yes W No ❑ Sample containers intact? Yes W No ❑ Sufficient sample volume for indicated test? Yes W No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes ❑.s No ❑ Container/Temp Blank temperature Cooler Temp: 2.5°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NA ❑d Sample labels checked for correct preservation? Yes ❑d No ❑ pH acceptable upon receipt (Metal: pH<2; 522: pH<4)? Yes ❑ No ❑ NA ❑� Samples Received on Ice? Yes No ❑ (Ice Type: WET ICE ) Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No ❑ NA ❑� " NOTE: If the "No" box is checked, see comments below. --------------------------------------------- Comments: Page 25 of 25