Laserfiche WebLink
1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c C a m p b e l l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.inccwnpbell.com/E-mail:main Comccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Petralogix Date and Time Received: 12/27/2019 11:49 <br /> Project: 2019-00095;Mann Road NLS/SSS Date Logged: 12/27/2019 <br /> Received by: Tina Perez <br /> WorkOrder Ne: 1912D43 Matrix: Water Logged by: Tina Perez <br /> Carrier: Client Droo-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes W No❑ <br /> Chain of custody signed when relinquished and received? Yes No❑ <br /> Chain of custody agrees with sample labels? Yes 0 No❑ <br /> Sample IDs noted by Client on COC? Yes d❑ 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❑J <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA❑d <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes ❑J No❑ <br /> Sample containers intact? Yes W No❑ <br /> Sufficient sample volume for indicated test? Yes W 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 d❑ No❑ <br /> (Ice Type: WET ICE ) <br /> SamplefTemp Blank temperature Temp: 11.6°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑./ No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes FI-elNo❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ No❑ NAW <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:<_7;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 11 of 11 <br />