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/-1-1, McCampbell Analytical, Inc. <br />"When Quality Counts" <br /> <br />1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />http://www.mccampbell.com / E-mail: main@mccampbell.com <br /> <br />Client Name: Langan <br />Project Name: 730392392; Lodi MCP-W Tokay <br />WorkOrder Ns: 1702619 Matrix: Water <br />Carrier: Bernie Cummins (MAI Courier) <br />Sample Receipt Checklist <br />Date and Time Received <br />Date Logged: <br />Received by: <br />Logged by: <br />2/10/2017 15:40 <br />2/10/2017 <br />Agustina Venegas <br />Agustina Venegas <br />Chain of Custody (COC) Information <br />Chain of custody present? <br />Yes No 0 <br />Chain of custody signed when relinquished and received? <br />Yes No D <br />Chain of custody agrees with sample labels? Yes No D <br />Sample IDs noted by Client on COC? <br /> <br />Yes No El <br />Date and Time of collection noted by Client on COC? <br />Yes No El <br />Sampler's name noted on COC? <br /> <br />Yes No El <br />Samole Receipt Information <br />Custody seals intact on shipping container/cooler? <br />Shipping container/cooler in good condition? <br />Samples in proper containers/bottles? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />Yes El <br />Yes <br />Yes <br />Yes <br />Yes <br />No El <br />No El <br />No D <br />No D <br />No El <br />NA <br />Sample Preservation and Hold Time (HT Information <br />All samples received within holding time? <br />Sample/Temp Blank temperature <br />Water - VOA vials have zero headspace / no bubbles? <br />Sample labels checked for correct preservation? <br />pH acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)? <br />Samples Received on Ice? <br />Yes No El <br />Temp: 6.7°C <br />Yes <br />Yes <br />Yes El <br />Yes <br />NA D <br />NA El <br />NA El <br />NA ID <br />NA <br />NA El <br />(Ice Type: WET ICE <br />UCMR3 Samples: <br />Total Chlorine tested and acceptable upon receipt for EPA 522? Yes 111 <br />Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes El <br />300.1, 537, 539? <br />Comments: <br />No El <br />No El <br />No El <br />No El <br />No El <br />No El <br />Page 12 of 12