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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> _ M c C a m p b e l l Analytical, Inc. To Il Free Telephone:(877)252-42621 Fax:(925)252-9269 <br /> "When Quality Counts" htip://www-mc"bell.corn)]_mail:main@mccampbelI.com <br /> Sample Receipt Checklist <br /> Client Name: APTIM Date and Time Received: 2/2412421 14:16 <br /> Project: 723419111; Lowes-Tracy, CA Date Logged: 2124/2021 <br /> Received by: Tina Perez <br /> WorkOrder W: 21021113 Matrix: Soil Logged by: Adrianna 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 0 No ❑ <br /> Sample IDs noted by Client on COC? Yes ❑✓ No❑ <br /> Date and Time of collection noted by Client on COC? Yes © No❑ <br /> Sampler's name noted on COC? yes +❑ No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA W <br /> Sample ormation <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> Shipping containerlcooler in good condition? Yes ® No❑ <br /> Samples in proper containers/bottles? Yes © No❑ <br /> Sample containers intact? Yes No❑ <br /> Sufficient sample volume for indicated test? Yes 0 No❑ <br /> Sample Preservation and Hold Time(HT1 Informa ion <br /> All samples received within holding time? Yes No L) NA❑ <br /> Samples Received on[ce? Yes No❑ <br /> (lea Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 11°C NA❑ <br /> ZHS oond[tional analyses!VOA meets zero headspace Yes ❑ No❑ NA <br /> requirement(VOCs,TPHg1BTEX,RSK)? <br /> Sample labels checked for correct preservation? Yes © No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.214500NO3: Yes ❑ No❑ NA 0 <br /> <2;522:r4;218.7:>8)? <br /> UCMR Samp es: <br /> pH tested and acceptable upon receipt(260.8:52;525.3:set; Yes ❑ No❑ NA <br /> 530:57:541:<3;544:<6-5&7-5)? <br /> Free Chlorine tested and acceptable upon receipt(<0_1 mg/L)? Yes ❑ No❑ NA 0 <br /> ——`— <br /> Com rn ants: <br /> ,Pa nP'7(,of 7F <br />