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1534 Willow Pass Road,Pittsburg.CA 94565-1701 <br /> M c C a m p b e I l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Qnalitp Counts" http://www.mccwnpbell.com/E-mail:main imccampbell.coin <br /> Sample Receipt Checklist <br /> Client Name: Neil O.Anderson&Associates Date and Time Received: 5/22/2015 4:27:25 PM <br /> Project Name: NA 157000 G;Wecker Construction Logln Reviewed by: Agustina Venegas <br /> WorkOrder Ns: 1505921 Matrix: Waste Water/Water Carrier: Client Drag-In <br /> Chain of CustodY(COC)Information <br /> Chain of custody present? Yes W 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 ❑d 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 EvI <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes ❑d No❑ <br /> Sample containers intact? Yes ❑d No❑ <br /> Sufficient sample volume for indicated test? Yes No Cl <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes FI No❑ <br /> Sample/Temp Blank temperature Temp: 3.5°C NA <br /> Water-VOA vials have zero headspace/no bubbles? Yes U No❑ NA❑ <br /> _ Sample labels checked for correct preservation? Yes W No❑ <br /> pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ❑ No❑ NA 401 <br /> Samples Received on Ice? Yes No❑ <br /> t- (Ice Type: WET ICE ) <br /> UCMR3 Samples: <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA❑d <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NA <br /> 300.1,537,539? <br /> r- *NOTE:If the"No"box is checked, see comments below. <br /> Comments: <br /> Page 10 of 10 <br />