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J1✓'I: 1531 Willow Pass Road,Pittsburg,CA 91565-1701 <br /> 71�_r McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> rhttp:<,www mccampbell.com/E-mail:nuun/@mccampbell.com Qualift,Counts' <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 10/31/2013 5:18:11 PM <br /> Project Name: #4601M4; Mountain House Neigh. C Logln Reviewed by: Jena Alfaro <br /> WorkOrder N°: 1310A32 Matrix: Soil Carrier: Tim Tatum(MAI Courier) <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? Yesd❑ No❑ <br /> Sample IDs noted by Client on COC? Yes © No❑ <br /> Date and Time of collection noted by Client on COC? Yes 0 No❑ <br /> Sampler's name noted on COC? Yes No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA d❑ <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes © No❑ <br /> Sufficient sample volume for indicated test? Yes EV] No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 0 No❑ <br /> Container/Temp Blank temperature Cooler Temp: 4.2'C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA C <br /> Sample labels checked for correct preservation? Yes 0 No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA <br /> Samples Received on Ice? Yes ❑d No❑ <br /> (Ice Type: WET ICE ) <br /> "NOTE:If the"No"box is checked, see comments below. <br /> Comments: <br /> Page 9 of 9 <br />