Laserfiche WebLink
1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> f 4� M c C a m p b e I I Analytical Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> �— <br /> When Quality Counts" I <br /> http://wwx.mccampbell.com/E-mail:main@xnccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received: 11/22/2019 11:40 <br /> Project: NA197095;SOARES PROPERTY Date Logged: 11/22/2019 <br /> Received by: Tina Perez <br /> WorkOrder Ns: 1911A62 Matrix: Water Logged by: Tina Perez <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 ❑d 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 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 No ❑ <br /> Sample containers intact? Yes 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 ❑d No ❑ NA❑ <br /> Samples Received on Ice? Yes ❑./ No ❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 4.1°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes d❑ No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes ❑- 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❑� <br /> 530::97;541: <3;544: <6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.lmg/L)? Yes ❑ No ❑ NA W <br /> ————————————————————————————————————————————- <br /> -———————————————————————————————————————————— <br /> Comments: <br /> PaaP I()Al <br />