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1534 Willow Pass Road,Pitubwv,CA 94565.1701 <br /> McCain bell Analytical, Inc. Tall Free Telephone(877)232.9262 Fax.(925)252-9269 <br /> t <br /> "When Quality Counts" hltp:-twww n=ampbell.com E-mad•mvn a bell.com <br /> Sample Receipt Checklist <br /> Client Name Fmmouw Environmental Services,Inc. Date and Time Received: 412912019 12:20 <br /> Protect: 82535;B.&C Painting Date Logged: 4/2912019 <br /> Received by, Lilly Ortiz <br /> WorkOrder No: 1904D86 Matrix: Water Logged by: Lilly Ortiz <br /> Carrier Patrick Johnson(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes © No❑ <br /> Chain of custody signed when relinquished and received? Yes L No❑ <br /> Chain of custody agrees with sample labels? Yes W No❑ <br /> Sample IDs noted by Client on COC? Yes W No❑ <br /> Date and Time of collection noted by Client on COC? Yes © No❑ <br /> Samplers name noted on COC? Yes W No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA <br /> Sale-ole Receipt Information <br /> Custody seals intact on shipping containericooler? Yes ❑ No❑ NA W <br /> Shipping containericooler 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 /> ,Sample Preservation and Hold Time IHT)Information <br /> All samples received within holding time? Yes ❑1 No NA❑ <br /> Samples Received on Ice? Yes © No <br /> (Ice Type: WET ICE ) <br /> SamplelTemp Blank temperature Temp: 3°C NA❑ <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes ❑d No NA❑ <br /> Sample labels checked for correct preservation? Yes Q No <br /> pH acceptable upon receipt(Metal*<2,Nitrate 353.21450ONO3: Yes ❑ No W NA❑ <br /> <2;522-<4.218 7 >8)? <br /> UCMR$sgmales• <br /> pH tested and acceptable upon receipt(200 8 52,525 1:54. Yes ❑ No❑ NA Ga <br /> 530.5T 541 <3 544 <B 5&7 5)? <br /> Free Chlorine tested and acceptable upon receipt(<0 1mg1L)? Yes ❑ No❑ NA W <br /> ----------------------- <br /> ------------------------ <br /> Comments: pH adjusted in Lab <br /> Page 14 of 14 <br />