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1534 Willow Pass Road, Pittsburg, CA 94565-1701 M c C a m p b e I l Analytical, Inc. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 "When Quality Counts" http://www.mccampbell.com / E-mail: main@mccampbell.com Sample Receipt Checklist Client Name: Chow Engineering Receipt Information Date and Time Received: 12/19/2011 2:15:34 PM Project Name: #11 R-120; CalWater Stockton No ❑ Yes Checklist completed and reviewed by: Zoraida Cortez WorkOrder N°: 1112555 Matrix: Soil Yes ❑ei Carrier: Client Drop -In Chain of Custody (COC) Information Chain of custody present? Yes No ❑ No ❑ Chain of custody signed when relinquished and received? Yes�/❑ No ❑ NA W No ❑ Chain of custody agrees With sample labels? Yes No ❑ No ❑ Sample IDs noted by Client on COC? Yes W No ❑ Date and Time of collection noted by Client on COC? Yes 91 No ❑ Sampler's name noted on COC? Yes ❑.� No ❑ Custody seals intact on shipping container/cooler? Shipping container/cooler in good condition? Samples in proper containers/bottles? Sample containers intact? Sufficient sample volume for indicated test? Sample Receipt Information Yes ❑ No ❑ Yes 0 No ❑ Yes ❑ei No ❑ Yes 0 No ❑ Yes W No ❑ NA ❑d Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes W No ❑ Container/Temp Blank temperature Cooler Temp: 5.2°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted W Sample labels checked for correct preservation? Yes ❑v! No ❑ Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA W Samples Received on Ice? Yes W No ❑ (Ice Type: WET ICE NOTE: If the "No" box is checked, see comments below. --------------------------------------------- Comments: Page 4 of 23