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y 1534 WillPass Road,Pitlsburg,CA 94565-1701 <br /> �'••_� McCampbell Analytical, Inc. Tall Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" httpd/www.meempbell.com/E-mail:min@=cmpbeH.com <br /> Sample Receipt Checklist <br /> Client Name: Safety-Kleen Corporation Date and Time Received 9117/2018 13:23 <br /> Project: 1;Kia Country Sump Water Date Logged: 911 712 01 8 <br /> Received by: Kena Ponce <br /> WorkOrder Ns: 1809621 Matrix: Water Logged by: Kena Ponce <br /> Carrier: FedEx <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes © No❑ <br /> Chain of custody signed when relinquished and received? Yes w 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 91 No❑ <br /> Sampler's name noted on COC? Yes © No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA©. <br /> Samole Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yes w No❑. <br /> Samples in proper containers/bottles? Yes ❑ No <br /> Sample containers intact? Yes © 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 © No❑ NA❑ <br /> Samples Received on Ice? Yes ❑ No 0 <br /> Sample/Temp Blank temperature Temp: NA <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes J❑ No❑ <br /> pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ❑ No© NA❑ <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3:s4; Yes ❑ No❑ NA <br /> 530:57;541:13;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.tmg/L)? Yes ❑ No❑. NA PI <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: pH adjusted In Lab. <br /> Page 20 of 20 <br />