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Wil <br /> ® Mccambbeii Analytical, Inc. F..Tel <br /> w ne:(87 )252-9262/F x 9926)-not <br /> Tall Free Telephone:(877)2F2-9262/Fac:(922)222-9269 <br /> "When Quafi(v Counts" http://www.mccmWbe0.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> ' Client Name: Neil O.Anderson&Associates Date and Time Received: 312812014 9:20:22 PM <br /> Project Name: #LZV140001; NOA Drywell, Lodi,Ca Login Reviewed by: Ana Venegas <br /> ' WorkOrder N°: 1403A85 Matrix: SoilfWater Carrier: Daniel(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes J❑ 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 /> Sampler's name noted on COC? Yes No El <br /> Sample Receipt 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 W No❑ <br /> Sample containers intact? Yes © No❑ <br /> Sufficient sample volume for indicated test? Yes No❑ <br /> Sample Preservation and Hold Time INTI Information <br /> ' All samples received within holding lime? Yes 601 No❑ <br /> Containerlfemp Blank temperature Cooler Temp: 3.9°C NA❑ <br /> ' Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes ❑J No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA <br /> 1 Samples Received on Ice? Yes ❑ No <br /> "NOTE:If the"No"box is checked,see comments below. — <br /> --------------------- <br /> Comments: <br /> ----------------Comments: <br /> ' Page 79 of 79 <br />