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1534 Willow Pass Road, Pittsburg, CA 94565- 1701 <br /> M c C a m p b e I l Analytical , Inc . Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br /> " Wheit Quality Counts " http://www.mccainpbell.coin / E-mail: main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Date and Time Received 10/24/201811 :31 <br /> Project: 1810076 ; Waste Testing Date Logged : 10/24/2018 <br /> Received by: Jena Alfaro <br /> WorkOrder Ns : 1810B74 Matrix: Solid Logged by: Jena Alfaro <br /> Carrier: UPS <br /> Chain of Custody (COC) Information <br /> Chain of custody present? Yes ❑d 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 n <br /> COC agrees with Quote? Yes ❑ No ❑ NA <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA W <br /> Shipping container/cooler in good condition? Yes 0 No ❑ <br /> Samples in proper containers/bottles? Yes 0 No ❑ <br /> Sample containers intact? Yes No ❑ <br /> Sufficient sample volume for indicated test? Yes No ❑ <br /> Sample Preservation and Hold Time JHT) Information <br /> All samples received within holding time? Yes No ❑ NA ❑ <br /> Samples Received on Ice? Yes No ❑ <br /> (Ice Type: BLUE ICE ) <br /> Sample/Temp Blank temperature Temp: 5.5° C NA ❑ <br /> Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NA ❑d <br /> Sample labels checked for correct preservation? Yes F/I No ❑ <br /> pH acceptable upon receipt (Metal : <2; 522 : <4; 218.7: >8)? Yes ❑ No ❑ NA W <br /> UCMR Samples : <br /> pH tested and acceptable upon receipt (200. 8: 52 ; 525. 3: 54; Yes ❑ No ❑ NA W <br /> 530: :s7; 541 : <3; 544: <6. 5 & 7 .5)? <br /> Free Chlorine tested and acceptable upon receipt (<0. 1mg/L)? Yes ❑ No ❑ NA W <br /> Comments : <br /> Page 11 of 11 <br />