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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> MC <br /> Campbell Analytical, Inc. ToOFree Telephone:(877)252-9262/Fax:(925)252-9269 <br /> rr{f'heu Quality Counts" http://www.mccama <br /> pbell.coin/E-mail:main mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Date and Time Received 1/9/2019 12:14 <br /> Project: 1901020;Value Products Date Logged: 1/9/2019 <br /> Received by: Jena Alfaro <br /> WorkOrder No: 1901308 Matrix: Water Logged by: Jena Alfaro <br /> Carrier: Golden State Overnioht <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑d No❑ <br /> Chain of custody agrees with sample labels? Yes LO No❑ <br /> Sample IDs noted by Client on COC? Yes W No❑ <br /> Date and Time of collection noted by Client on COC? Yes Pel No❑ <br /> Sampler's name noted on COC? Yes ❑ No d❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA d❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No U NA <br /> Shipping container/cooler in good condition? Yes ❑d No❑ <br /> Samples in proper containers/bottles? Yes ❑d No❑ <br /> Sample containers intact? Yes LO No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Sample_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❑ NA❑d <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes L7 No❑ NA❑ <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8::52;525.3:54; Yes ❑ No❑ NA❑✓ <br /> 530::57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1mg/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 />