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Analytical, <br />� 1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />M C C a m p b e l l A n a l Y I} i C a l, I n c• Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />"When Quality Counts" http://www.mccampbell.com / E-mail: main@mccampbell.com <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 />Sample Receipt Information <br />Sample Receipt Checklist <br />❑ <br />Client Name: AdvancedGeo, Inc. <br />Yes <br />❑d <br />Date and Time Received: <br />3/31/2023 15:04 <br />Project: Pilkington <br />No ❑ <br />Yes <br />Date Logged: <br />4/3/2023 <br />Yes <br />n <br />No ❑ <br />Received by: <br />Adrianna Cardoza <br />WorkOrder Ng: 23031\180 Matrix: <br />Soil <br />Logged by: <br />Adrianna Cardoza <br />Carrier: Patrick Johnson (MAI Courier) <br />Chain of Custody <br />(COC) Information <br />Chain of custody present? <br />Yes <br />❑d <br />No ❑ <br />Chain of custody signed when relinquished and received? Yes <br />❑d <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />❑d <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />❑d <br />No ❑ <br />Date and Time of collection noted by Client on COC? Yes <br />❑d <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />❑d <br />No ❑ <br />COC agrees with Quote? <br />Yes <br />❑ <br />No ❑ <br />NA ❑d <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 />Sample Receipt Information <br />Yes <br />❑ <br />No ❑ <br />Yes <br />❑d <br />No ❑ <br />Yes <br />n <br />No ❑ <br />Yes <br />n <br />No ❑ <br />Yes <br />n <br />No ❑ <br />Yes <br />0 <br />No ❑ <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes 0 No ❑ <br />Samples Received on Ice? Yes 0 No ❑ <br />(Ice Type: WET ICE ) <br />Sample/Temp Blank temperature Temp: 0.9°C <br />ZHS conditional anal ses: VOA meets zero heads ace Yes ❑ No ❑ <br />NA ❑D <br />NA ❑ <br />NA ❑ <br />NA ❑ <br />Y p NA W <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Sample labels checked for correct preservation? Yes ❑d 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 (200.7: 52; 533: 6 - 8; Yes ❑ No ❑ NA ❑d <br />537.1: 6 - 8)? <br />Free Chlorine tested and acceptable upon receipt (<O.1 mg/L) Yes ❑ No ❑ NA ❑d <br />[not applicable to 200.7]? <br />Comments: <br />Page 87 of 87 <br />