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Willow Pass Road, <br /> 01 <br /> McCampbell Analytical, Inc. F3"Teleph .:(87 )252- 262/F" (925)252-9 <br /> Toll Free telephone:(877)252-9262/Fac:(925)252-9269 <br /> "When Qualify Counts'r http://www.=wmpbell.com/E-mil:n=@rnccempbe0.c= <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received 2/2712018 12:45 <br /> Project: NA177059;Rowe;12360 N.Angier Road,Lodi, CA Date Logged: 2/2712018 <br /> Received by: Nancy Palacios <br /> WorkOrder Ns: 1802CSO Matrix: Water Logged by: Nancy Palacios <br /> Carrier: Patrick Johnson(MAI Courier) <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 wth sample labels? Yes © No❑ <br /> Sample IDs noted by Client on COC? Yes W No❑ <br /> Date and Time of collection noted by Client on COC? Yes W No❑ <br /> Samplers name noted on COC? Yes ❑ No W <br /> COC agrees with Quote? Yes ❑ No❑ NA W <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA W <br /> Shipping container/cooler in good condition? Yes W No❑ <br /> Samples in proper containers/bottles? Yes W No❑ <br /> Sample containers intact? Yes W No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Sample Preservation and Hold Time(HT1 Information <br /> All samples received within holding time? Yes W No❑ NA❑ <br /> Samples Received on Ice? Yes W No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 3.6°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes W 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❑ NAW <br /> UCMR Samples' <br /> pH tested and acceptable upon receipt(200.8:52;525.3:54; Yes ❑ No❑ NAW <br /> 530:57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA W <br /> --------------------------------------------- <br /> Comments: <br /> Page 12 of 12 <br />