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1534 Willow Pass Road, Pittsburg, CA 94565- 1701 <br /> 1—\ M c C a m p b e I l Analytical , Inc .71 Toll Free Telephone: (877) 252-9262 / Fax: (925 ) 252-9269 <br /> " When QGG/1/y COGI7lS " http://www.inccainpbell.coin / E-mail : main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name : Precision Enviro-Tech Date and Time Received 4/ 12/201815 : 38 <br /> Project : 8040520 Date Logged : 4/12/2018 <br /> Received by: Kena Ponce <br /> WorkOrder Ns: 1804682 Matrix: Soil Logged by: Keylen Juarez <br /> Carrier: Client Drop- In <br /> Chain of Custody (COC) Information <br /> Chain of custody present? Yes 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 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 ❑� <br /> Samole 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 ❑d No ❑ <br /> Sufficient sample volume for indicated test? Yes No ❑ <br /> Sample Preservation and Hold Time ( HT) Information <br /> All samples received within holding time? Yes W No ❑ NA ❑ <br /> Samples Received on Ice? Yes ❑ No ❑.i <br /> Sample/Temp Blank temperature Temp: NAW <br /> Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NA W <br /> Sample labels checked for correct preservation? Yes ❑ No 0 <br /> pH acceptable upon receipt (Metal : < 2 ; 522 : <4 ; 218 . 7 : > 8) ? Yes ❑ No ❑ NA <br /> UCMR Samoles : <br /> pH tested and acceptable upon receipt (200 . 8 : :52 ; 525 . 3: <_4 ; 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 W <br /> - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Comments : <br /> Page 9 of 9 <br />