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• Yes ❑ No ❑ RECEIVED No ❑ Yes 1534 Willow Pass Road, Pittsburg, CA 94565-1701 FEB p g 2 16 McCampbell Analytical, Inc. No ❑ Yes J❑ No ❑ Yes ❑ Toll Free Telephone:(877)252-9262/ Fax: (925) 252-9269 "When Quality Counts" Fv� No ❑ http://www.mccampbell.com / E-mail: mainanccampbelI.com ENVIRONNTAL Yes ❑ Sample Receipt Checklist ! r)FPARTMFNT Client Name: GHD No d❑ Date and Time Received: 1/7/2016 16:30 Project Name: Chevron 201383 Date Logged: 1/7/2016 WorkOrder W: 1601186 Matrix: Soil Received by: Jena Alfaro Carrier: Client Drop -In Logged by: Jena Alfaro Chain of Custody (COC) Information Chain of custody present? Yes W No ❑ Chain of custody signed when relinquished and received? Yes J❑ No ❑ Chain of custody agrees with sample labels? Yes J❑ No ❑ Sample IDs noted by Client on COC? Yes J❑ No ❑ Date and Time of collection noted by Client on COC? Yes d❑ No ❑ Sampler's name noted on COC? Custody seals intact on shipping container/cooler? Shipping container/cooler in good condition? Samples in proper containers/bottles? Sample containers intact? Sufficient sample volume for indicated test? Yes © No ❑ Sample Receipt Information Yes ❑ No ❑ Yes No ❑ Yes No ❑ Yes © No ❑ Yes J❑ No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes d❑ No ❑ Sample/Temp Blank temperature Temp: Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ Sample labels checked for correct preservation? Yes Fv� No ❑ pH acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)? Yes ❑ No ❑ Samples Received on Ice? Yes ❑ No d❑ NA d❑ NA ❑� NA NA W UCMR3 Samples: Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No ❑ NA d❑ Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No ❑ NA d❑ 300.1, 537, 539? * NOTE. If the "No" box is checked, see comments below. Comments: Page 17 of 17