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1534 Willow Pass Road, Pittsburg, CA 94565-1701 ® McCampbell Analytical , Inc . Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 "When Quality Counts" hup://www.mc=npbell.com / E-nail: maim nccanapbell.cum Sample Receipt Checklist Client Name: CVE Demolition Dale and Time Received: 12113/2019 09:20 Project: D17124; West Side Market Date Logged: 1211312019 Received by: Tina Perez WorkOrder Ns: 1912750 Matrix: Soil Logged by: Tina Perez Carrier: Client Drop-In Chain of Custody ICOC) Information Chain of custody present? Yes W No ❑ Chain of custody signed when relinquished and received? Yes V No ❑ Chain of custody agrees with sample labels? Yes 91 No ❑ Sample IDs noted by Client on COC? Yes © No ❑ Date and Time of collection noted by Client on COC? Yes No ❑ Sampler's name noted on COC? Yes No ❑ COC agrees with Quote? Yes ❑ No ❑ NA Sample Receipt Information Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA ❑� Shipping container/cooler in good condition? Yes 6a No ❑ Samples in proper containers/bottles? Yes © No ❑ Sample containers intact? Yes © No ❑ Sufficient sample volume for Indicated test? Yes © No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes © No ❑ NA ❑ Samples Received on Ice? Yes ❑ No ❑ Sample/Temp Blank temperature Temp: NA ❑1 Water - VOA vials have zero headspace I no bubbles? Yes ❑ No ❑ NAW Sample labels checked for correct preservation? Yes ❑J No ❑ pH acceptable upon receipt (Metal: <2; Nitrate 353.214500NO3: Yes ❑ No ❑ NA k <2; 522: <4; 218.7: >8)? LICMR Samples: pH tested and acceptable upon receipt (200.8: 52; 525.3: 54; Yes ❑ No ❑ NAW 530: :57; 541 : <3; 544: <8.5 & 7,5)? Free Chlorine tested and acceptable upon receipt (<0.1 mg/L)? Yes ❑ No ❑ NA 91 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - Comments: Page 34 of 34