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McCampbell Analytical, Inc. <br />"When Quality Counts" <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 />Sample Receipt Checklist <br />Client Name: Petralogix <br />Project: NLS/SSS <br />WorkOrder N2: 2104A52 <br />Carrier: Client Drop-In <br />Matrix: Water <br />Date and Time Received: <br />Date Logged: <br />Received by: <br />Logged by: <br />4/19/2021 13:52 <br />4/19/2021 <br />Tina Perez <br />Adrianna Cardoza <br /> <br />Chain of Custody (COC) Information <br /> <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Sample IDs noted by Client on COC? <br />Date and Time of collection noted by Client on COC? <br />Sampler's name noted on COC? <br />COC agrees with Quote? <br />Custody seals intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <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 No El <br />Yes No D <br />Yes No D <br />Yes No El <br />Yes No D <br />Yes No El <br />Yes El <br />No D <br />Sample Receipt Information <br />Yes CI <br />No LI <br />Yes No LI <br />Yes No D <br />Yes No D <br />Yes fI <br />No El] <br />Yes No D <br />NA LI <br />NA <br />NA D <br />Sample Preservation and Hold Time (HT) Information <br />NA LI <br />NA LI <br />All samples received within holding time? <br />Samples Received on Ice? <br />(Ice Type: <br />Sample/Temp Blank temperature <br />Yes <br />Yes <br />WET ICE <br />Temp: <br />No El <br />No El <br />0.1°C <br />ZHS conditional analyses: VOA meets zero headspace <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Yes El No 0 NA LI <br />Sample labels checked for correct preservation? Yes No LII <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: Yes LIII No [1] NA LI <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.8: 52; 525.3: 54; Yes 0 No D NA k <br />530: 57; 541: <3; 544: <6.5 & 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)? Yes LI No D NA k <br />Comments: <br />Page 11 of 11