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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M C C a m p b e l l Analytical, Inc• Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://w w.mccampbell.com/E-mail:ail:main <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received 7/25/2018 13:10 <br /> Project: NA187034;Global Carrier Inc. Date Logged: 7/25/2018 <br /> Received by: Kena Ponce <br /> WorkOrder Ns: 1807C26 Matrix: Wa er Logged by: Kena Ponce <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 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 No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA❑./ <br /> Sample Receint Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA❑d <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes d❑ No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 0 No❑ NA❑ <br /> Samples Received on Ice? Yes No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 5.9°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑d No❑ NA❑ <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❑d <br /> t1CMR Samoles: <br /> pH tested and acceptable upon receipt(200.8:52;525.154; Yes ❑ No❑ NA❑d <br /> 530:157;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 10 of 10 <br />