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+; Analytical, 1534 Willow Pass RdPittsbwg,CA 94565-1701MG am ��I InG. 92621 Fax:(925j 252-9 <br /> FTre 269p : <br /> "When Qualfty Counts" hftp:llwww.nmcampbell,com I E-rrnil:main@ mceampbell.com <br /> Sample Receipt Checklist <br /> Client Name: APT1M Date and Time Received: 2/24/2021 14:16 <br /> Project: 723019111;Lov*s-Tracy,CA Date Logged: 2/24/2029 <br /> Received by: Tina Perez <br /> WorkOrder Ns: 2102E10 Matrix: mil Logged by: Adrianne Cardoza <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <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 /> Sample Ids noted by Client on COC? Yes 0 No❑ <br /> Date and Time of collection noted by Client on COC? Yes 0 No❑ <br /> Sampler's name noted on COC? Yes ❑✓ No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA 0 <br /> Sample Receipt Information <br /> Custody seals intact on shipping oontainerlcooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes Q No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for Indicated test? Yes No❑ <br /> Sampig PreservatiHold Time tion <br /> All samples received within holding time? Yes 91 No❑ NA❑ <br /> Samples Received on Ice? Yes 91 No❑ <br /> (Ice Type: WET ICE ) <br /> SamplefTemp Blank temperature Temp: 11°C NA❑ <br /> ZHS conditional analyses:VOA meets zero headspace Yes ❑ No❑ NA <br /> requirement(VOCs,TPHglBTEX, RSK)? <br /> Sample labels checked for correct preservation? Yes © No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.214500NO3: Yes ElNo❑ NA❑O <br /> <2;522:<4:218.7:>8)? <br /> tdCMR Sam Ip es: <br /> pH tested and acceptable upon receipt(200,8:52;525.3::S4; Yes ❑ No❑ NA <br /> 530::57:541:<3;544:X6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mgtL)? Yes ❑ No❑ NA❑d <br /> ------------------------------------------------ <br /> Comments: <br /> �anm 7fl nF'7f <br />