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Sample Receipt Checklist <br />McCampbell Analytical, Inc.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"When Quality Counts" <br />Client Name:Advanced GeoEnvironmental, Inc. <br />WorkOrder №:1507A45 <br />Date and Time Received:7/24/2015 7:08:08 PM <br />LogIn Reviewed by:Jena Alfaro <br />Matrix:Water Carrier:OnTrac <br />Shipping container/cooler in good condition?Yes No <br />Custody seals intact on shipping container/cooler?Yes No NA <br />Samples Received on Ice?Yes No <br />Chain of custody present?Yes No <br />Chain of custody signed when relinquished and received?Yes No <br />Chain of custody agrees with sample labels?Yes No <br />Samples in proper containers/bottles?Yes No <br />Sample containers intact?Yes No <br />Sufficient sample volume for indicated test?Yes No <br />All samples received within holding time?Yes No <br />NASample/Temp Blank temperature <br />Yes No NAWater - VOA vials have zero headspace / no bubbles? <br />pH acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)?Yes No NA <br />* NOTE: If the "No" box is checked, see comments below. <br />Temp:3.6°C <br />Chain of Custody (COC) Information <br />Yes NoSample IDs noted by Client on COC? <br />Yes NoDate and Time of collection noted by Client on COC? <br />Yes NoSampler's name noted on COC? <br />Sample Receipt Information <br />Sample Preservation and Hold Time (HT) Information <br />Sample labels checked for correct preservation?Yes No <br />Project Name:PNA Lathrop-SWIS <br />(Ice Type:WET ICE ) <br />Comments: <br />Total Chlorine tested and acceptable upon receipt for EPA 522?Yes No NA <br />UCMR3 Samples: <br />Free Chlorine tested and acceptable upon receipt for EPA 218.7, <br />300.1, 537, 539? <br />Yes No NA <br />Page 12 of 12