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y 1534 willow Pass Road,Pittsburg,CA 94565-1701 <br /> \` MCCampl1,.,ell Analytical, Ing. Tog F=Telephone:(877)252-9262/F=(925)252-9269 <br /> o_ <br /> ' \ "When Quality Counts" http://w .mccwMbcll.com/&mail:mam@Q aopbc8.com <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received 1/2612017 14:00 <br /> Project Name: Macchia Winery NA1770004 Date Logged: 1/2 612 01 7 <br /> Received by: Alexandra Iniguez <br /> WorkOrder Ns: 1701 B48 Matrix: Water Logged by: Alexandra lniguez <br /> Cartier: David Shaver(MAI Courier) <br /> Chain of Custody(COC7 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 W No❑ <br /> Sample IDs noted by Client on COC? Yes 0 No❑ <br /> Dale and Time of collection noted by Client on COC? Yes EVI No❑ <br /> Samplers name noted on COC? Yes v" No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes 0 No❑ NA❑ <br /> Shipping container/cooler in good condition? Yes V No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for indicated lest? Yes No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 0 No❑ NA M <br /> Sample(femp Blank temperature Temp: 2.6°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes W No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes © No❑ <br /> pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ❑ No❑ NA❑� <br /> Samples Received on Ice? Yes Q No❑ <br /> (Ice Type: WET ICE ) <br /> UCMR3 Samples: <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA❑J <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NAM <br /> 300.1,537,539? <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 10 of 10 <br />