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1534 Willow Piss Road,Pillshr?.CA 94565-1701 <br /> ,---,,01v mccami;?belLAt-ialvticaL,La-c--j 'rGjI ry.Td.pliona:(877)252-9262/F=(925)252-9269 <br /> Sampk Receipt CheddRot <br /> Dale and Time Received: 312712019 13:62 <br /> Client Name: Castle Analytical laboratory <br /> Project: 1903100;Promfer Ftnishing Date Logged: 3/2712019 <br /> Received by: Lilly Ortiz <br /> Work0rdprNR: [903I739 Matrix: Water Logged by: Lilly Ortiz <br /> Carrier: UPS <br /> Chain of Custody(COC I Information <br /> Chain of custody present? Yes No <br /> ❑ <br /> Chain of custody signed when relinquished and received? yes No El <br /> Chain of custody agrees with sample labols? yes Na 11 <br /> Sample 0s noted by Client on COG? Yes Na <br /> ❑ <br /> Dale and Time of coilection noted by Ciient on COC? Yes No <br /> ❑ <br /> Sampler's name noted on GOC? yes ❑ No <br /> COC agrees with Quote? Yes ❑ No❑ NA <br /> salnj)Ie.Rqce[pt_Information <br /> Custody seals Intact on shipping containerlcWlef? Yes ❑ No L1 NA <br /> Shipping containericooler in good condiflon? Yes No <br /> ❑ <br /> Samples in proper containarsibottles? yes P1 No 1-1 <br /> Sample cootalnefs intact? yes No <br /> ❑ <br /> Sufficient sample volume for Indicated test? Yes No Ll <br /> �m .preservation and He[(]Time HT information <br /> All samples received within holding time? Yes No❑ NA <br /> ❑ <br /> Samples Received on Ice? yes 0 No <br /> ❑ <br /> (Ice Type: BLUE ICE <br /> Sanip[eITeri)p Blank temperature Temp: 3.5,G NA <br /> ❑ <br /> Water-VOA vials have zero headspaw I no bubbles? Yes ❑ No El NA W <br /> Sample labels chocked for correct pfoservaVon? Yes FV1 No El <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.214606NO3: Yes No El NAE1 <br /> 522:<4;218.7:>8)? <br /> LICIVIR Samples: <br /> pH tested and acceptable upon receipt(200,8:s21 625,3:<4: Yes ❑ No❑ NA LA <br /> 530:57;541: Q;544;<6.5&7.6)? <br /> Free Chlorine tested and acceptable upon receipt(,-O,l mg/L)? Yes ❑ No El NA 10 <br /> Cornments: <br /> Page 9 OF 9 <br />