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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> C a m p Pi Analytical, L n C. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality COunts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Graben, Inc. Date and Time Received 5/15/2019 15:35 <br /> Project: 250 Catalpa Date Logged: 5/15/2019 <br /> Received by: Agustina Venegas <br /> WorkOrder W: 1905831 Matrix: Soil Logged by: Agustina Venegas <br /> Carrier: Benjamin Yslas(MAI Courier) <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 ❑d No❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑d No❑ <br /> Sampler's name noted on COC? Yes ❑d No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA❑d <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA ❑4 <br /> Shipping container/cooler in good condition? Yes ❑4 No❑ <br /> Samples in proper containers/bottles? Yes ❑J No❑ <br /> Sample containers intact? Yes ❑d No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes V] No❑ NA❑ <br /> Samples Received on Ice? Yes 0 No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 5.7°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes —1 No❑ NA❑d <br /> Sample labels checked for correct preservation? Yes ] No❑ <br /> pH acceptable upon receipt(Metal: <2; Nitrate 353.2/4500NO3: Yes —1 No❑ NA❑d <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❑d <br /> 530:<7;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA❑d <br /> Comments: <br /> Page 14 of 14 <br />