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csito4e 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: Fremouw Environmental Services, Inc. <br />Project: Tracy <br />WorkOrder Ns: 2106674 Matrix: Soil <br />Carrier: Client Drop-In <br />Date and Time Received <br />Date Logged: <br />Received by: <br />Logged by: <br />6/10/2021 13:20 <br />6/10/2021 <br />Tina Perez <br />Tina Perez <br /> <br />Chain of Custody (COC) Information <br />No E <br />No LII <br />No LII <br />No E <br />No E] <br />No E <br />No E <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 <br />Yes <br />Yes (11 <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />No E <br />No E <br />No LII <br />No El <br />No El <br />No E <br />NA E <br />NA El <br />NA E <br />Samole Receipt Information <br />Samole Preservation and Hold Time (HT) Information <br />NA E All samples received within holding time? <br />Samples Received on Ice? <br />(Ice Type: <br />Yes <br />Yes [11 <br />WET ICE <br />No E <br />No LIII <br />Sample/Temp Blank temperature Temp: 13.2°C NA E <br />ZHS conditional analyses: VOA meets zero headspace <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Yes E No LII NA [11 <br />Sample labels checked for correct preservation? Yes El No El <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: Yes No E NA E <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.8: 52; 525.3: 54; Yes No E NA [11 <br />530: 57; 541: <3; 544: <6.5 & 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)? Yes LII No E NA E <br />Comments <br />Page 14 of 14