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Y3JCr McCambell nal tical Inc. 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> —4 Web:www.mccampbell.com E-mail:main@mccampbell.com <br /> "When O ality Counts" r Telephone:877-252-9262 Fax:925-252-9269 <br /> Sample Receipt Checklist <br /> Client Name: Shaw Environ ental Date and Time Received: 3/15/2010 11:47:44 AM <br /> Project Name: #137761.10; A 8T-Stockton Checklist completed and reviewed by: Melissa Valles <br /> WorkOrder N°: 1003406 Matrix Solid Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑ No ❑ <br /> Chain of custody signed when relin uished and received? Yes © No ❑ <br /> Chain of custody agrees with sampl labels? Yes ❑ No ❑ <br /> Sample IDs noted by Client on COC? Yes No ❑ <br /> Date and Time of collection noted by tient on COC? Yes 0 No❑ <br /> Sampler's name noted on COC? Yes 0 No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping con ainer/cooler? Yes ❑ No❑ NA 0 <br /> Shipping container/cooler in good co clition? Yes RI No ❑ <br /> Samples in proper containers/bottles Yes RI No ❑ <br /> Sample containers intact? Yes d❑ No ❑ <br /> Sufficient sample volume for indicate test? Yes 21 No ❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding ti e? Yes d❑ No ❑ <br /> Container/Temp Blank temperature Cooler Temp: NA d❑ <br /> Water-VOA vials have zero headsp ce/no bubbles? Yes ❑ No ❑ No VOA vials submitted 21 <br /> Sample labels checked for correct pr servation? Yes 21 No ❑ <br /> Metal-pH acceptable upon receipt(p <2)? Yes ❑ No ❑ NA d❑ <br /> Samples Received on Ice? Yes ❑ No `❑ <br /> *NOTE:If the "No"box is checked,s e comments below. <br /> ——————————— ————————————————————————————————- <br /> -—————————— ————————————————————————————————— <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br />