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Inc. 1534 Willow Passltoad,Piusburg,CA94565-1701 <br /> McCam bell Analytical, <br /> Toll Free"telephone:(877)252-9262 r Fas {925)2i2-9269 <br /> When Qualirr Counts" ht1p:1/www,mccampbell.crnn!E-ninil-rmin(ri!mccempbell.com <br /> Sample Receipt Checklist <br /> Client Name: Safety Kleen Date and Time Received: 711912019 11:20 <br /> Project: JB9793;Stockton Date Logged: 7119/2019 <br /> Received by: Kena Ponce <br /> WorkOrder Ns: 1907933 Matrix: Water Logged by: Kena Ponce <br /> Carrier: Client Drop-)n <br /> Crhain of Custody(COC)Information <br /> Chain of custody present? Yes RI No ❑ <br /> Chain of custody signed when relinquished and received? Yes RI No ❑ <br /> Chain of custody agrees with sample labels? Yes No ❑ <br /> Sample IDs noted by Client on COC? Yes ✓Q No ❑ <br /> Date and Time of collection noted by Client on COC? Yes No ❑ <br /> Sampler's name noted on COC? Yes ❑d No ❑ <br /> COG agrees with Quote? Yes ❑ No ❑ NA EVI <br /> aaMpJtw Recelot Information <br /> Custody seals intact on shipping containerlcooler? Yes LI No NA Fv-1 <br /> Shipping containerlcooler in good condition? Yes EvIl No II <br /> Samples in proper containerslbottles? Yes 1:411 No L_I <br /> Sample containers intact? Yes ❑✓ No ❑ <br /> Sufficient sample volume for indicated test? Yes . No ❑ <br /> SamolL PmBoryatjon and Hold Time(HT)Information <br /> All samples received within holding time? Yes �vl No I,._ NA❑ <br /> Samples Received on lee? Yes ❑ No CI <br /> Sample/Temp Blank temperature Temp: NAW <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes ❑ No ❑ NA l <br /> Sample labels checked for correct preservation? Yes No <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.214504NO3: Yes ❑ No ❑ NAW <br /> <2;522:<4;218.7:>8)? <br /> ,,}CMR Samples- <br /> pH <br /> am Ip es: <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 mglL)? Yes ❑ No ❑ NA k-el <br /> --- --------- - --- ---- - ------------------ - - --- -- <br /> Comments: <br /> Page I 1 0 11 <br />