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Analytical, <br /> � 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M C C a m p b e i l A n a l Y I}i C a l, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Petralogix Date and Time Received: 9/7/2021 13:12 <br /> Project: SSS/NLS-S Koster Road Date Logged: 9/7/2021 <br /> Received by: Tina Perez <br /> WorkOrder W: 2109270 Matrix: Water Logged by: Agustina Venegas <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No ❑ <br /> Chain of custody signed when relinquished and received? Yes ❑d No ❑ <br /> Chain of custody agrees with sample labels? Yes ❑d No ❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No ❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑d No ❑ <br /> Sampler's name noted on COC? Yes ❑d No ❑ <br /> COC agrees with Quote? Yes ❑ No ❑ NA❑d <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA❑4 <br /> Custody seals intact on sample bottles? Yes ❑ No ❑ NA❑4 <br /> Shipping container/cooler in good condition? Yes ❑d No ❑ <br /> Samples in proper containers/bottles? Yes ❑d No ❑ <br /> Sample containers intact? Yes ❑d No ❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No ❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes U No ❑ NA❑ <br /> Samples Received on Ice? Yes 0 No ❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 0.7°C NA❑ <br /> ZHS conditional analyses:VOA meets zero headspace Yes ❑ No NA❑ <br /> requirement(VOCs,TPHg/BTEX, RSK)? <br /> Sample labels checked for correct preservation? Yes 0 No ❑ <br /> pH acceptable upon receipt(Metal:<2; Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA❑� <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:<_2;525.3:<_4; Yes ❑ No❑ NA❑d <br /> 530:157; 541:<3; 544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA❑d <br /> Comments: <br /> One or more containers have headspace issue. Please check WOsummary for more information.. <br /> Page 11 of 11 <br />