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1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />}_ M C C a m p b e i l Analytical, I n c. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />"When Quality Counts"http://www.mccampbell.com / E-mail: main@jnecampbell.com <br />Sample Receipt Checklist <br />Client Name: Fremouw Environmental Services, Inc. <br />Date and Time Received: <br />12/6/2018 11:40 <br />Project: Pick n Pull/ Stockton <br />Date Logged: <br />12/6/2018 <br />Received by: <br />Julia Danielsson <br />WorkOrder W: 1812236 Matrix: Water <br />Logged by: <br />Julia Danielsson <br />Carrier: Patrick Johnson (MAI Courier) <br />Chain of Custody <br />(COC) Information <br />Chain of custody present? <br />Yes <br />❑d <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />❑d <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />❑d <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />❑d <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yes <br />❑d <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />❑d <br />No ❑ <br />COC agrees with Quote? <br />Yes <br />❑ <br />No ❑ <br />NA ❑d <br />Sample Receipt Information <br />Custody seals intact on shipping container/cooler? <br />Yes <br />❑ <br />No ❑ <br />NA ❑./ <br />Shipping container/cooler in good condition? <br />Yes <br />❑4 <br />No ❑ <br />Samples in proper containers/bottles? <br />Yes <br />❑J <br />No ❑ <br />Sample containers intact? <br />Yes <br />❑d <br />No ❑ <br />Sufficient sample volume for indicated test? <br />Yes <br />❑d <br />No ❑ <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? <br />Yes <br />❑d <br />No ❑ <br />NA ❑ <br />Samples Received on Ice? <br />Yes <br />❑d <br />No ❑ <br />(Ice Type: <br />WET ICE ) <br />Sample/Temp Blank temperature <br />Temp: <br />2.7°C <br />NA <br />Water - VOA vials have zero headspace / no bubbles? <br />Yes <br />❑ <br />No ❑ <br />NA VI <br />Sample labels checked for correct preservation? <br />Yes <br />❑./ <br />No ❑ <br />pH acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)? <br />Yes <br />❑d <br />No ❑ <br />NA <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.8::52; 525.3: :54; <br />Yes <br />❑ <br />No ❑ <br />NA n <br />530: <7; 541: <3; 544: <6.5 & 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)? <br />Yes <br />❑ <br />No ❑ <br />NA W <br />Comments: <br />Page 17 of 17 <br />