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0 • M c C a m p bel I Analytical Inc Tolll534 Willow Pass Free Telephone: (87252-9262 / Fax: (925) 252CA 09269 "When Quafify Qua'Counts" http•J/www.mocampbell.com / E-mail: main@mccampbell.com Client Name: Chow Engineering Project Name: #11R-120; CalWater Stockton WorkOrder N": 1201197 Matrix: Soll Sample Receipt Checklist Date and Time Received: 1/10/2012 6:04:12 PAA Checklist completed and reviewed by: Ana Venegas 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 No ❑ Sample IDs noted by Client on COC? Yes No ❑ Date and Time of collection noted by Client on COC? Yes No ❑ Sampler's name noted on COC? Yes ❑ No seals intact on shipping container/cooler? Sa�Rle Receipt ❑ InformationYes No ❑ 'Custody NA e/❑ Shipping container/cooler in good condition? Yes No ❑ Samples in proper containers/bottles? Yes No ❑ ' Sample containers intact? Yes No ❑ Sufficient sample volume for indicated test? Yes No ❑ Samle Preservation and Hold Time (HT) Information All samples received within holding time? Yes Fv] No ❑ Container/Temp Blank temperature Cooler Temp: 6.2°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 No ❑ (Ice Type: WET ICE ) NOTE: If the No" box is checked, see comments below. Comments: Page 4 of 16