COMPLIANCE INFO_2011-2012 - Laserfiche WebLink

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1534 Willow Pass Road, PittsbCA 94565-1701 M cCampbell A n a I t�/ i c a 1 t 1 n 'n c• Toll Free Telephone: (8 252-9262 Fax: (9 5) 252-9269 rrWhen Quality Counts" httpJ/www.mocampbeU.com /E-mail: main@mccampbell.com Sample Receipt Checklist Client Name: Chow Engineering Date and Time Received: 12119120112:15:34 PM Project Name: #11 R-120; CalWater Stockton Checklist completed and reviewed by: Zoraida Cortez WorkOrder N": 1112555 Matrix: Soil Carrier: Client Drop -In Chain Chain of custody present? of Custody Yes (,COC) Information No ❑ Chain of custody signed when relinquished and received? Yes No ❑ Chain of custody agrees with sample labels? Yes ❑d No ❑ Sample IDs noted by Client on COC? Yes ❑d No ❑ Date and Time of collection noted by Client on COC? Yes R No ❑ Sampler's name noted on COC? Yes ❑d No ❑ Custody seals intact on shipping container/cooler? Sample Yes Receipt Information ❑ No ❑ NA Shipping container/cooler in good condition? Yes W No ❑ Samples in proper containers/bottles? Yes W No ❑ Sample containers intact? Yes No ❑ Sufficient sample volume for indicated test? Yes No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes W No ❑ Containerlremp Blank temperature Cooler Temp: 5.2"C ' NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted ./❑ Sample labels checked for correct preservation? Yes ❑d No ❑ Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA Samples Received on ice? Yes W No ❑ (Ice Type: WET ICE *NOTE. If the "No" box is checked, see comments below. --------------------------------------------- --------------------------------------------- Comments: a Page 4 of 23