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McCamnbell Analytical Inc 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> Web:www.mccampbell.com Email:mai.@tn.ampbelLcom <br /> "When OualiN Counts" Tele hone:877-252-9262 Faz:925-252-9269 <br /> Sample Receipt Checklist <br /> Client Name: PSC Industrial Outsourcing, LP Date and Time Received: 6/26/09 9:31:56 AM <br /> ' Project Name: SL-Lincoln St. Checklist completed and reviewed by: Melissa Valles <br /> WorkOrder N°: 0906804 Matrix Soil Carrier: CA OverNight <br /> ' Chain of Custody(COC)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 /> Sampler's name noted on COC? Yes © No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler-7 Yes ® No❑ NA ❑ <br /> ' Shipping container/cooler in good condition? Yes ® No❑ <br /> Samples in proper containers/bottles? Yes R1 No❑ <br /> Sample containers intact? Yes ® No❑ <br /> Sufficient sample volume for indicated test? Yes 0 No❑ <br /> ' Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes © No❑ <br /> ' Container/Temp Blank temperature Cooler Temp: 10.6'C NA ❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes © No❑ <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA R1 <br /> Samples Received on Ice? Yes © No❑ <br /> (Ice Type: Wt710E ) <br /> •NOTE:If the "No"box is checked, see comments below. <br /> --------------------------------------------- <br /> ' --------------------------------------------- <br /> Client contacted: Date contacted: Contacted by: <br /> ' Comments: <br />