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} 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/F.:(925)252-9269 <br /> "When Quality Counts" hap://www.mccampbeB.com/&mail:main@mccampt>ell.com <br /> Sample Receipt Checklist <br /> Client Name: Neil O. Anderson&Associates Date and Time Received: 41112014 9:21:02 PM <br /> Project Name: #LZ140001;NOA Drywall,Lodi,CA Login Reviewed by: Ana Venegas <br /> WorkOrder N°: 1404047 Matrix: Soil/Water Carrier: Brian STANFORD(MAI Courier) <br /> Chain of Custody(CDC)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 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 /> Samplers name noted on COC? Yes No❑ <br /> Sample Receiot Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA❑ <br /> Shipping container/cooler in good condition? Yes W No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for indicated test? Yes No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 0 No❑ <br /> Container/Temp Blank temperature Cooler Temp: 1.1'C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes Q No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA❑� <br /> Samples Received on Ice? Yes W No❑ <br /> (Ice Type: WET ICE ) <br /> "NOTE:If the"No"box is checked,see comments below. <br /> -- -- - - --- -- --- ----------------------------- <br /> Comments: <br />