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1534 willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. ToU Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.coin/E-mail:main rrmccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Goldsmith Construction Date and Time Received 9/12/2019 11:40 <br /> Project: Bore Job for Yara Date Logged: 9/12/2019 <br /> Received by: Jena Alfaro <br /> WorkOrder Ns: 1909532 Matrix: Soil Logged by: Jena Alfaro <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 0 No❑ <br /> Chain of custody agrees with sample labels? Yes No❑ <br /> Sample IDs noted by Client on COC? Yes 0 No❑ <br /> Date and Time of collection noted by Client on COC? Yes 0 No❑ <br /> Sampler's name noted on COC? Yes 0 No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA ./❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA d❑ <br /> Shipping container/cooler in good condition? Yes d❑ 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 d❑ 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❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 4.2°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA �/❑ <br /> Sample labels checked for correct preservation? Yes 11-el No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/450ONO3: Yes ❑ No❑ NA❑d <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3:54; Yes ❑ No❑ NA❑J <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❑d <br /> Comments: <br /> Page 11 of 11 <br />