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• r <br /> 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.inccampbell.coin/E-mail:main@nccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: AEI Consultants Date and Time Received: 1/6/2015 7:17:40 PM <br /> Project Name: #337833;Waldo Rose Logln Reviewed by: Jena Alfaro <br /> WorkOrder Ne: 1501075 Matrix: SoilGas Carrier: Client Drop-In <br /> Chain of Custody(COCl Information <br /> Chain of custody present? Yes ❑.I No❑ <br /> Chain of custody signed when relinquished and received? Yes No❑ <br /> Chain of custody agrees with sample labels? Yes ❑./ 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 /> Sampler's name noted on COC? Yes 0 No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 0 <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> proper Samples in containers/bottles? Yes WNo Llp <br /> Sample containers intact? Yes ❑d No❑ <br /> Sufficient sample volume for indicated test? Yes No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑J No❑ <br /> Sample/Temp Blank temperature Temp: NA❑� <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA❑J <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> pH acceptable upon receipt(Metal:<2;522: <4;218.7:>8)? Yes ❑ No❑ NA W <br /> Samples Received on Ice? Yes ❑ No❑./ <br /> UCMR3 Samples: <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NA❑d <br /> 300.1,537,539? <br /> NOTE:If the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 19 of 19 <br />