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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> 1 <br /> "When QunlitF Counts" wwhap /E-mmgm <br /> ail: ain ccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 11/4/2013 3:55:44 PM <br /> Project Name: #4901 M4;Mountain House Neigh C. Login Reviewed by: Maria Venegas <br /> WorkOrder N°: 1311052 Matrix: Soil Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No❑ <br /> Chain of custody signed when relinquished and received? Yes W 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 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 W No❑ <br /> Samples in proper containers/bottles? Yes ❑./ No❑ <br /> Sample containers intact? Yes © No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes W No❑ <br /> Container/Temp Blank temperature Cooler Temp: 3.8'C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA W <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA PI <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 /> --------------------------------------------- <br /> ---------- ---- --- <br /> Comments: <br /> Page 7 of 7 <br />