Laserfiche WebLink
Sample Receipt Checklist <br />McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />http://www.mccampbell.com / E-mail: main@mccampbell.com"When Quality Counts" <br />Client Name:AdvancedGeo, Inc. <br />WorkOrder №:2004769 <br />Date Logged:4/17/2020 <br />Logged by:Tina PerezMatrix:Water <br />Carrier:Patrick Johnson (MAI Courier) <br />Shipping container/cooler in good condition?Yes No <br />Custody seals intact on shipping container/cooler?Yes No NA <br />Samples Received on Ice?Yes No <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 />Samples in proper containers/bottles?Yes No <br />Sample containers intact?Yes No <br />Sufficient sample volume for indicated test?Yes No <br />NAAll samples received within holding time?Yes No <br />NASample/Temp Blank temperature <br />Yes No NAWater - VOA vials have zero headspace / no bubbles? <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: <br /><2; 522: <4; 218.7: >8)? <br />Yes No NA <br />Temp:4°C <br />Chain of Custody (COC) Information <br />Yes NoSample IDs noted by Client on COC? <br />Yes NoDate and Time of collection noted by Client on COC? <br />Yes NoSampler's name noted on COC? <br />Sample Receipt Information <br />Sample Preservation and Hold Time (HT) Information <br />Sample labels checked for correct preservation?Yes No <br />Project:Duarte Property <br />(Ice Type:WET ICE ) <br />Comments: <br />pH tested and acceptable upon receipt (200.8: ≤2; 525.3: ≤4; <br />530: ≤7; 541: <3; 544: <6.5 & 7.5)? <br />Yes No NA <br />UCMR Samples: <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)?Yes No NA <br />Date and Time Received:4/17/2020 13:35 <br />Received by:Tina Perez <br />COC agrees with Quote?Yes No NA <br />Page 9 of 9