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1534 Willow Pass Road,Pittsburg CA 94565-1701 <br /> M C C a m p b e l l Analytical, I n C. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> 'o' "When Quality Counts" I <br /> http://www.mccampbell.com/E-mail:mainCamccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Kleinfelder, Inc. Date and Time Received: 10/22/2020 19:52 <br /> Project: 20200630.001A/02-0002;Costco Tracy Hansen Trailer Yard NL_SS Date Logged: 10/22/2020 <br /> Received by: Lilly Ortiz <br /> WorkOrder No: 2010C13 Matrix: Water Logged by: Lilly Ortiz <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes U No❑ <br /> Chain of custody signed when relinquished and received? Yes 0 No❑ <br /> Chain of custody agrees with sample labels? Yes 0 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 0 No❑ NA ❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA ❑� <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes 0 No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for indicated test? Yes 0 No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes W No❑ NA❑ <br /> Samples Received on Ice? Yes 0 No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 3.7°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes 0 No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes 0 No❑ <br /> pH acceptable upon receipt(Metal: <2; Nitrate 353.2/4500NO3: 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❑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❑ NA <br /> Comments: <br /> Page 17 of 17 <br />