Laserfiche WebLink
/--A McCampbell Analytical, Inc. <br />Ale "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: Clean Harbors <br />Project: 2102012547; LATHROP MANTECA FIRE DIST. <br />VVorkOrder No: 2105D11 Matrix: Soil <br />Carrier: Client Drop-In <br />Date and Time Received <br />Date Logged: <br />Received by: <br />Logged by: <br />5/25/2021 13:17 <br />5/25/2021 <br />Agustina Venegas <br />Tina Perez <br />Chain of Custody (COC) Information <br />No In <br />No El <br />No El <br />NoEl <br />No El <br />No El <br />No El <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 Lvi <br />Yes <br />Yes <br />Yes <br />Yes Li <br />Yes <br />Yes <br />Yes El <br />Yes El <br />Yes <br />Yes [1 <br />Yes IJ <br />Yes El <br />No 11 <br />No El <br />No El <br />No El <br />No El <br />No El <br />Sample Receipt Information <br />NA El <br />NA Wi <br />NA El <br />NMI] <br />NA DI <br />NA WI <br />NA <br />NA <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes El <br />No <br />Samples Received on Ice? <br /> Yes El <br />No 11 <br />Sample/Temp Blank temperature Temp: 21.4°C <br />ZHS conditional analyses: VOA meets zero headspace <br /> Yes El No El <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Sample labels checked for correct preservation? Yes k <br /> <br />No E <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: Yes El <br />No El <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.8: 52; 525.3: s4; Yes 111 <br />No CI <br />530: 57; 541: <3; 544: <6.5 & 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)? Yes 0 <br />No El <br />Comments Method SW80216/8015Bm (G/MBTEX) was received past its 14-day holding time. Method SW8015B (Diesel & Motor Oil) was received <br />past its 14-day holding time. <br />Page 13 of 13