Laserfiche WebLink
1534 Willow Pass Koad,Pittsburg,CA 94565.1701 <br /> McCam bell Anal tical Inc. <br /> Web:www,mecampbell.cpm E-mail main@mccasnpbell.com <br /> �r "When Quality Counts" Telephone:877-252-9262 Fax:925-252-9269 <br /> Sample Receipt Checklist <br /> Client Name: Safety Kleon Date and Time Received: 08/15/08 12:59:48 PM <br /> Project Name: Test Dirt Checklist completed and reviewed by: Maria Venegas <br /> WorkOrder N': 0808446 Matrix Soil Carrier: UPS <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 21 No ❑ <br /> Sample IDs noted by Client on COC? Yes 9 No ❑ <br /> Date and Time of collection noted by Client on COC? Yes 21 No ❑ <br /> Sampler's name noted on COC? Yes 21 No ❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping containertcooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yes © No ❑ . <br /> Samples in proper containers/bottles? Yes 0 No ❑ <br /> Sample containers intact? Yes © No ❑ <br /> Sufficient sample volume for indicated test? Yes RI No ❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑ No ❑ <br /> ContainerfTemp Blank temperature Cooler Temp: 27.4'C NA ❑ <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes ❑ No ❑ No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes Q No Cl <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No Cl NA 21 <br /> Samples Received on Ice? Yes ❑ No `❑ <br /> 'NOTE:If the"No"box is checked,see comments below. <br /> . <br /> -----------------------.._...—...._—w—__..--------------- <br /> --------------------------------------------- <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br />