Laserfiche WebLink
1534 Willow Pass Road, Pittsburg CA 94565-1701 <br />x01— M C C a m p b e l l Analytical, Inc. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />NNW "When Quality Counts" http://www.mccampbell.com / E-mail: mainCamccampbell.com <br />Sample Receipt Checklist <br />Client Name: ICES <br />Date and Time Received: <br />3/2/2022 15:00 <br />Project: ICES 9315 <br />Date Logged: <br />3/2/2022 <br />Received by: <br />Lilly Ortiz <br />WorkOrder Ns: 2203182 Matrix: Soil <br />Logged by: <br />Lilly Ortiz <br />Carrier: Antonio Mason (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? <br />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 />❑4 <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />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 />Sample Receipt Information <br />Custody seals intact on shipping container/cooler? <br />Yes <br />❑ <br />No ❑ <br />NA U <br />Custody seals intact on sample bottles? <br />Yes <br />❑ <br />No ❑ <br />NA 0 <br />Shipping container/cooler in good condition? <br />Yes <br />❑d <br />No ❑ <br />Samples in proper containers/bottles? <br />Yes <br />❑./ <br />No ❑ <br />Sample containers intact? <br />Yes <br />❑d <br />No ❑ <br />Sufficient sample volume for indicated test? <br />Yes <br />❑4 <br />No ❑ <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? <br />Yes <br />No ❑ <br />NA ❑ <br />Samples Received on Ice? <br />Yes <br />❑d <br />No ❑ <br />(Ice Type: <br />WET ICE ) <br />Sample/Temp Blank temperature <br />Temp: <br />2.6°C <br />NA ❑ <br />ZHS conditional analyses: VOA meets zero headspace <br />Yes <br />❑ <br />No ❑ <br />NA ❑J <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Sample labels checked for correct preservation? <br />Yes <br />❑d <br />No ❑ <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: <br />Yes <br />❑ <br />No ❑ <br />NA ❑d <br /><2; 522: <4; 218.7: >8)? <br />LICMR Samples: <br />pH tested and acceptable upon receipt (200.7: 152; 533: 6 - 8; Yes ❑ No ❑ NA U <br />537.1: 6 - 8)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L) Yes ❑ No ❑ NA 0 <br />[not applicable to 200.7]? <br />--------------------------------------------- <br />---------------------------------- <br />Comments: <br />Page 17 of 17 <br />