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1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />&M! cE CL aIMMDEbRegIMI Analytical, Inc. Web: www.mocampbell.cm E-mail: main@mccampbell.coin <br />"When Oualitv Counts" Tel hone: 877-252-9262 Fax: 925-252-9269 <br />Client Name: Safety Kleen <br />Receipt <br />Information <br />Date and Time Received: 712108 8:48:34 PM <br />Project Name: Metal Shaving <br />No F -I <br />Yes <br />Checklist completed and reviewed by: Ana Venegas <br />WorkOrder N*: 0807081 Matrix 5olid <br />Yes <br />RI <br />Carrier: Lips <br />Chain of Custody <br />(COC) Information <br />Chain of custody present? <br />Yes <br />RI <br />No 0 <br />Chain of custody signed when relinquished and received? <br />Yes <br />RI <br />No 11 <br />Chain of custody agrees with sample labels? <br />Yes <br />RI <br />No 0 <br />Sample IDs noted by Client on COC? <br />Yes <br />RI <br />No El <br />Date and Time of collection noted by Client on COC? <br />Yes <br />RI <br />No El <br />Sampler's name noted on COC? <br />Yes <br />El <br />No 521 <br />Custody seals intact on shipping container/cooler? <br />Shipping container/cooler in good condition? <br />Samples in proper containers/bottles? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />Sample <br />Receipt <br />Information <br />Yes <br />RI <br />No F -I <br />Yes <br />91 <br />No ❑ <br />Yes <br />RI <br />No ❑ <br />Yes <br />91 <br />No 0 <br />Yes <br />RI <br />NoEl <br />M <br />Sample Preservation <br />and Hold Time (HT) Information <br />All samples received within holding time? <br />Yes <br />RI <br />No El <br />Container/Temp Blank temperature <br />Cooler <br />Temp: <br />NA RI <br />Water - VOA vials have zero headspace / no bubbles? <br />Yes <br />El <br />No 11 No VOA vials submitted RI <br />Sample labels checked for correct preservation? <br />Yes <br />RI <br />No 0 <br />TTLC Metal - pH acceptable upon receipt (pH<2)? <br />Yes <br />11 <br />NoEl NA RI <br />* NOTE. If the "No" box is checked, see comments below. <br />Client contacted: <br />Comments: <br />Date contacted: <br />Contacted by: <br />