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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c a m p b e 11 Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> ' "When Quality <br /> Counts" ht4)://w-�+.mccampbell.com/E-mail:main a mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Clean Harbors Date and Time Received: 6/25/2020 13:30 <br /> Project: TOWER PARK Date Logged: 6/25/2020 <br /> Received by: Tina Perez <br /> WorkOrder Ns: 2006C77 Matrix: Soil Logged by: Tina Perez <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes IV] 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 0 No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA 0 <br /> Sample Receipt 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 0 No ❑ NA❑ <br /> Samples Received on Ice? Yes ❑ No <br /> Sample/Temp Blank temperature Temp: 28°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No ❑ NA 0 <br /> Sample labels checked for correct preservation? Yes 0 No ❑ <br /> pH acceptable upon receipt(Metal:<2; Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA❑� <br /> <2;522: <4;218.7:>8)? <br /> UCMR Samgles: <br /> pH tested and acceptable upon receipt(200.8:52;525.3:54; Yes ❑ No❑ NA <br /> 530:!57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA <br /> Comments: <br /> T)-- 1 1 „4r <br />