Laserfiche WebLink
1534 Willow Pass Road, Pittsburg, CA 94565- 1701 <br /> M c C a m p b e l I Analytical , Inc . Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br /> �} " When Quality Counts " http://Nvww.mccainpbell.com / E-mail: main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Safety Kleen Date and Time Received 11 /21 /2017 10 : 16 <br /> Project Name : CAM17 ; Brown Dust Date Logged : 11 /21 /2017 <br /> Received by: Agustina Venegas <br /> WorkOrder No. : 1711991 Matrix: Solid Logged by: Agustina Venegas <br /> Carrier: FedEx <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 0 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 /> 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 /> Sample Preservation and Hold Time (HT) Information <br /> All samples received within holding time? Yes No ❑ NA ❑ <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 0 No ❑ <br /> pH acceptable upon receipt (Metal: <2 ; 522 : <4 ; 218 . 7 : >8)? Yes ❑ No ❑ NA W <br /> Samples Received on Ice? Yes ❑ No W <br /> UCMR Samples : <br /> Total Chlorine tested and acceptable upon receipt for EPA 522 ? Yes ❑ No ❑ NA <br /> Free Chlorine tested and acceptable upon receipt for EPA 218 . 7 , Yes ❑ No ❑ NA 0 <br /> 300 . 11 537 , 539? <br /> Comments : <br />