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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 /> ®&I "When Quality Counts" http://www.mccampbell.com/E-mail:main @ mccanapbell.corn <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies,Inc. Date and Time Received: 11/5/2013 4:14:30 PM <br /> Project Name: #4601M4;Mountain House Neig.0 Login Reviewed by: Ana Venegas <br /> WorkOrder N°: 1311094 Matrix: 5Qi) Carrier: Tim Tatum(MAI Courier) <br /> Chain of Custody(COC1 Information <br /> Chain of custody present? Yes ❑J No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑d No❑ <br /> Chain of custody agrees with sample labels? Yes ❑d 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❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <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 © No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑./ No❑ <br /> Container/Temp Blank temperature Cooler Temp: 5.8°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes ❑d 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 /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 25 of 25 <br />