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1534 Willow Pass Road, Pittsburg, CA 94 565-1 70 1 <br />_ M c C a m bell Anf c a l Inc. Toll Free Telephone: ( 877) 252-9262 i Fax: (925) 252-9269 <br />http://www.mccampbell.com / E-mail: main()mccampbell.com <br />"When Quality Counts" <br />Chain <br />of Custody <br />Sample Receipt Checklist <br />Information <br />Client Name: <br />AdvancedGeo, Inc. <br />Date and Time Received: <br />5/18/2021 11:21 <br />Project: <br />Mills Property <br />Date Logged: <br />5/18/2021 <br />Chain of custody agrees with sample labels? <br />Yes <br />Received by: <br />Lilly Ortiz <br />WorkOrder Ns: <br />2105883 <br />Matrix: Water Logged by: <br />Lilly Ortiz <br />Carrier: <br />Patrick Johnson (MAI <br />Courier) <br />No ❑ <br />Chain <br />of Custody <br />1COCI <br />Information <br />Chain of custody present? <br />Yes <br />J <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />E%*] <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />41 <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />V <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yes <br />V� <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />W <br />No ❑ <br />COC agrees with Quote? <br />Yes <br />❑ <br />No ❑ <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 />Sample Receipt <br />Information <br />Yes <br />❑ <br />No ❑ <br />Yes <br />❑ <br />No � _I <br />Yes <br />0 <br />No ❑ <br />Yes <br />0 <br />No ❑ <br />Yes <br />d❑ <br />No ❑ <br />Yes <br />I41 <br />No ❑ <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes IVI No ❑ <br />Samples Received on Ice? Yes C No ❑ <br />(Ice Type: WET ICE ) <br />Sample/Temp Blank temperature Temp: 0.2°C <br />ZHS conditional anal ses VOA meets zero heads ace Yes F—V—' No ❑ <br />NA k <br />NA <br />NA <br />NA ❑ <br />NA ❑ <br />y p NA El <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Sample labels checked for correct preservation? Yes [] No ❑ <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: Yes ❑ 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: 154; Yes ❑ No ❑ NA I <br />530: 57; 541: <3; 544: <6.5 8 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)? Yes ❑ No ❑ NA U <br />Comments: <br />Page 13 of 13 <br />