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1534 Willow Pass Road, Pittsburg, CA 94565-1701 M C C a m p b e I l A n a I t I C a l, I n C. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 "When Quality Counts" I http://www.mccampbell.com / E-mail: main@mccampbeH.com Sample Receipt Checklist Client Name: GHD Information Yes Date and Time Received: 1/7/2016 16:30 Project Name: Chevron 201383 ❑d No ❑ Date Logged: 1/7/2016 WorkOrder Ns: 1601186 Matrix: Soil Yes d❑ Received by: Jena Alfaro Carrier: Client Drop -In No ❑ Yes Logged by: Jena Alfaro Chain of Custody (COC) Information No ❑ Chain of custody present? Yes ❑�I No ❑ Chain of custody signed when relinquished and received? Yes 141 No ❑ Chain of custody agrees with sample labels? Yes ❑d No ❑ Sample IDs noted by Client on COC? Yes W No ❑ Date and Time of collection noted by Client on COC? Yes W 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 0 No ❑ Sample Receipt Information Yes ❑ No ❑ Yes ❑d No ❑ Yes ❑d No ❑ Yes d❑ No ❑ Yes W No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes W No ❑ Sample/Temp Blank temperature Temp: Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ Sample labels checked for correct preservation? Yes d❑ No ❑ pH acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)? Yes ❑ No ❑ Samples Received on Ice? Yes ❑ No ❑J NA ❑d NA W NAW NA 91 UCMR3 Samples: Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No ❑ NA W 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