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1534 Willow Pass Road, Pittsburg, CA 94565- 1701 <br /> r---",_ <br /> Toll (925) 252-92G9 <br /> McCampbell Analytical , Inc . <br /> rr http://www.mccampbell.com / E-mail: main@mccampbell.com <br /> " When Quality Counts <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Date and Time Received 119120191214 <br /> Project: 1901020, Value Products Date Logged : 1 /9/2019 <br /> Received by: Jena Alfaro <br /> WorkOrder N.O : 1901308 Matrix: Water Logged by: Jena Alfaro <br /> Carrier: Golden State Overnight <br /> Chain of Custody (COC) Information <br /> Chain of custody present? Yes 0 No ❑ <br /> Chain of custody signed when relinquished and received? Yes 91 No ❑ <br /> Chain of custody agrees with sample labels? Yes O No ❑ <br /> Sample IDs noted by Client on COC? Yes W No ❑ <br /> Date and Time of collection noted by Client on COC? Yes W No ❑ <br /> Sampler's name noted on COC? Yes ❑ No W <br /> COC agrees with Quote? Yes ❑ No [_J NA W <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA W4 <br /> Shipping container/cooler in good condition? Yes No ❑ <br /> Samples in proper containers/bottles? Yes No ❑ <br /> Sample containers intact? Yes EVI No ❑ <br /> Sufficient sample volume for indicated test? Yes W No ❑ <br /> ample Preservation and Hold Time (HT) Information <br /> All samples received within holding time? Yes ❑ No W NA ❑ <br /> Samples Received on Ice? Yes ❑✓ No ❑ <br /> ( Ice Type: BLUE ICE ) <br /> Sample/Temp Blank temperature Temp: 4 .8°C NA ❑ <br /> Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NAW <br /> Sample labels checked for correct preservation? Yes Q No ❑ <br /> pH acceptable upon receipt (Metal : <2 ; Nitrate 353.2/4500NO3 : Yes OV No ❑ NA ❑ <br /> <2 ; 522 : <4; 218 . 7 ; >8)? <br /> UCMR Samples : <br /> pH tested and acceptable upon receipt (200. 8: :52; 525. 3 : s4; Yes ❑ No ❑ NA W <br /> 530 : <_7 ; 541 : <3 ; 544 : <6. 5 & 7 .5)? <br /> Free Chlorine tested and acceptable upon receipt (<O. img/L)? Yes ❑ No ❑ NA <br /> Comments: Method SM4500H+B (pH) was received past its 0 .01 -day holding time . <br /> Page 12 of 12 <br />