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1534 Willow Pass Road, Pittsburg, CA 94 565-1 70 1 4 McCampbell 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: 12/15/2011 5:07:31 PM Project Name: #11 R-120;CalWater Stockton No ❑ Yes Checklist completed and reviewed by: Melissa Valles WorkOrder N°: 1112484 Matrix: Soil Yes ❑d Carrier: Client Drop -In Chain of Custody (COC) Information Chain of custody present? Yes 0 No ❑ Chain of custody signed when relinquished and received? Yes ❑d No ❑ Chain of custody agrees with sample labels? Yes ❑d No ❑ Sample IDs noted by Client on COC? Yes 0 No ❑ Date and Time of collection noted by Client on COC? Yes P1 No ❑ Sampler's name noted on COC? Yes d❑ 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 ❑d No ❑ Yes ❑d No ❑ Yes J❑ No ❑ Yes ❑d No ❑ NA ❑D Sample Preservation and Hold Time (HI) Information All samples received within holding time? Yes ❑d No ❑ Container/Temp Blank temperature Cooler Temp: 6*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 W Samples Received on Ice? Yes 0 No ❑ (Ice Type: WET ICE * NOTE: If the "No" box is checked, see comments below. ------------------------------------------- Comments: Page 4 of 21