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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> _ McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "W/ten Quality Counts" http://www.inccampbell.com/E-mail:main r@'i nccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received: 10/22/2019 12:20 <br /> Project: NA197081;Gribaudo Property Date Logged: 10/22/2019 <br /> Received by: Kena Ponce <br /> WorkOrder Ne: 1910A50 Matrix: Water 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 d❑ 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 ❑d No ❑ <br /> COC agrees with Quote? Yes ❑ No ❑ NA❑d <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NAW <br /> Shipping container/cooler in good condition? Yes ❑d 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 ❑d No ❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes V No❑ NA❑ <br /> Samples Received on Ice? Yes W No ❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 1.6°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑d No ❑ NA❑ <br /> Sample labels checked for correct preservation? Yes ❑1 No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA❑� <br /> <2;522: <4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:<2;525.3:<4; Yes ❑ No ❑ NA d❑ <br /> 530::57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No ❑ NAW <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 12 of 12 <br />