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I,� 1534 Willow Puss Rood,Pittsburg,CA 94565-1701 ® Mccampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 "When Qualily Counts" I littp:llwww.mewipbell.com/E-mail:min@=mpbell.com Sample Receipt Checklist Client Name: Condor Earth Technologies,Inc. Date and Time Received: 1211112014 2:41:11 PM Project Name: #31514.02;PNA Login Reviewed by: Maria Venegas WorkOrder Ns: 1412518 Matrix: Solid Carrier: Daniel(MAI Courier) Chain of Custody(COG)Information EDChain of custody present? Yes M No M R �.Q �!I �Y Chain of custody signed when relinquished and received? Yes M No El Chain of custody agrees wilh sample labels? Yes M No❑ DEC © 6 2017 Sample IDs noted by Client on COC? Yes M No M Dale and Time of collection noted by Client on COC? Yes M No❑ ENVIRONMENTAL HEALTH Sampler's name noted on COC? Yes M No❑ DEPARTMENT Sample Receipt Information Custody seals Intact on shipping container/cooler? Yes ❑ No❑ NA M Shipping comainerlcooler in good condition? Yes M No❑ Samples in proper containers/bottles? Yes M No❑ Sample containers Intact? Yes M No❑ Sufficient sample volume for indicated test? Yes M No M Sample Preservation and Hold Time(HT1 Information All samples received within holding time? Yes M No❑ Samplerfemp Blank temperature Temp: 9.6°C NA❑ Water-VOA vials have zero headspace/no bubbles? Yes M No❑ NAM Sample labels checked for correct preservation? Yes M No M pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes M No❑ NAM Samples Received on Ice? Yes M No M (Ice Type: WET ICE ) UCMR3 Samples: Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No M NA W Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes M No❑ NAM 300.1,537,539? `NOTE:If the Wo"box is checked,see comments below. --------------------------------------------- --------------------------------------------- Comments: Page 14 of 14