COMPLIANCE INFO_2011-2012 - Laserfiche WebLink

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1534 Willow Pass Road, PkW=& CA 94565-1701 cCampbell Analytical, InQ Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 N% -When COU"&Fr E Mtp://www.ff=anv&U.cm/&mfl:minQmcca�beH.com Sample Receipt Checklist Client Name: Chow Engineering Date and Time Received: 12113120116:20:07 PM Project Name: #11 R-120; CalWaterStoddon Checklist completed and reviewed by: Melissa Valles WorkOrder N*: 1112399 Matrix: $d Carrier. Client DMIn Chain Chain of custody present? of Custody Yes iQQQ Information No n Chain of custody signed when relinquished and received? Yes No F-1 Chain of custody agrees with sample labels? Yes No F-1 Sample IDs noted by Client on COC? Yes FV] No F-1 Date and Time of collection noted by Client on COC? Yes No n Sarripler's name noted on COC? Yes ❑ No FV Custody seals intact on shipping container/cooler? Sample Yes ReceloLtakm1aftQn ❑ No El NA Shipping container/cooler in good condition? Yes No F-1 Samples in proper containers/bottles? Yes n*' No F1 Sample containers intact? Yes No El Sufficient sample volume for indicated test? Yes No n Sample Presentation Ali samples received within holding time? and Hold Time (HT) Information No El Yes W Containerfremp Blank temperature Cooler Temp: 5.8*C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes El No El No VOA Vials submitted FV Sample labels checked for correct preservation? Yes nV No F] Metal - pH acceptable upon receipt (pH<2)? Yes El No El NA 0 Samples Received on Ice? Yes W No F] (Ice Type: WET ICE NOTE: If the "No" box is checked, see comments below_ Comments: Page 4 of 20