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M c al <br /> InC.CamabA To]1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> I Free Telephone:(877)252-9262/Fax:(925)252-9 <br /> 269 <br /> y Counts" httpJ/www.mccampbell.com/E-mail:main@mcampbelLcom"When Quali <br /> Sample Receipt Checklist' <br /> Client Name: Chow Engineering Date and Time Received: 12/13/20116:05:29 PM <br /> Project Name: #11 R-120;CalWater Stockton Checklist completed and reviewed by: Melissa Valles <br /> WorkOrder N°: 1112398 Matrix: Soil Carrier: Client Drop-in <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes No❑ <br /> Chain of custody signed when relinquished and received? Yes 0 No❑ <br /> Chain of custody agrees with sample labels? Yes 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 /> 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 ❑d No❑ <br /> Container/Temp Blank temperature Cooler Temp: 5.8°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ No VOA vials submitted 0 <br /> Sample labels checked for correct preservation? Yes [V-1 No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA <br /> Samples Received on Ice? Yes No❑ <br /> (Ice Type: WET ICE ) <br /> NOTE:If the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> -——— ———— <br /> Comments: <br /> Page 4 of 22 <br />