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1534 Willow Pass Road,Pittsburg. A 94565-1701 <br /> McCampbell Analytical,Inc. <br /> Web'unvw.mccampbell corn E-mail:mailmain@niccampbelLcom <br /> "When Ouality Cornus" Telephone 877-252-9262 Fax 925-252-9269 <br /> Sample Receipt Checklist <br /> i <br /> Client Name: ETIC Date and Time Received: 10/5/2007 6:28:40 PM <br /> I <br /> Project Name: Sara Lee- Airport r Checklist completed and reviewed by: Ana Venegas <br /> WorkOrder N°: 0710257 Matrix Soil Carrier: Client Dmo-in <br /> Chain of Custody(COQ)Information <br /> Chain of custody present? Yes 0 No ❑ <br /> Chain of custody signed when relinquished and received? Yes RI 1 No ❑ <br /> Chain of custody agrees with sample labels? Yes Z No-❑ <br /> Sample IDs noted by Client on COC? Yes ❑ No ❑ <br /> Date and Time of collection noted by Client on COC? Yes RI - No ❑ <br /> Sampler's name noted on COC? Yes R) No ❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA RI <br /> Shipping container/cooler in good condition? - Yes RI Pb ❑ <br /> Samples in proper containers/bottles? Yes RI No <br /> Sample containers intact? Yes © No ❑ <br /> Sufficient sample volume for indicated test? Yes 0 No ❑ <br /> 1 Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes RI No ❑ <br /> Containerrfemp Blank temperature Cooler Temp: 23.4°C NA ❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No ❑ No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes © No ❑ <br /> TTLC Metal-pH acceptable upon receipt(pHQ)? Yes ❑ No❑ NA RI <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br /> 7 <br />