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• 1534 Willow Pass Road, Pittsburg, CA 94565-1701 McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax: (925) 252-9269 1— "When Quality Counts" I http://www.mccampbell.com / E-mail: main@mccampbell.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 NQ: 1601183 Matrix: Soil Yes Water - VOA vials have zero headspace / no bubbles? Received by: Jena Alfaro Carrier: Client Drop -In No ❑ Yes Logged by: Jena Alfaro Chain of Custody (COC) Information Samples Received on Ice? Chain of custody present? Yes d❑ No ❑ Chain of custody signed when relinquished and received? Yes d❑ No ❑ Chain of custody agrees with sample labels? Yes ❑ No ❑ Sample IDs noted by Client on COC? Yes No ❑ Date and Time of collection noted by Client on COC? Yes ❑J 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 No ❑ Yes Water - VOA vials have zero headspace / no bubbles? No ❑ Yes © 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 NAW NA ❑d NA ❑d 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 ❑ NAW 300.1, 537, 539? *NOTE: ff the "No" box is checked, see comments below. --------------------------------------------- Comments: Page 20 of 20