Laserfiche WebLink
1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> Mccampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main(Jmccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies,Inc. Date and Time Received: 11/14/2013 2:41:27 PM <br /> Project Name: #4601 M4;Mountain House Neigh. C Login Reviewed by: Maria Venegas <br /> WorkOrder N°: 1311460 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? 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❑ <br /> Samole Receiot 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 /> Samole Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes © No❑ <br /> Container/Temp Blank temperature Cooler Temp: 3.8°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 W <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 9 of 9 <br />