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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> V M c C a m p b e l l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> \ "When Quality Counts" http://www.inccmnpbell.coin/E-mail:main @4riccarripbell.com <br /> Sample Receipt Checklist <br /> Client Name: Fremouw Environmental Services,Inc. Date and Time Received: 3/24/2016 15:42 <br /> Project Name: 064376;IP/Tracy/Fitter Cakes Date Logged: 3/24/2016 <br /> WorkOrder Ne: 1603C72 Matrix: Soil Received by: Agustina Venegas <br /> Carrier: Randy Glen(MAI Courier) Logged by: Agustina Venegas <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes d❑ No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑ No❑ <br /> Chain of custody agrees with sample labels? Yes ❑ 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 d❑ No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA W <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes d❑ No❑ <br /> Sample containers intact? Yes d❑ No❑ <br /> Sufficient sample volume for indicated test? Yes d❑ No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 141 No❑ <br /> Sample/Temp Blank temperature Temp: 7°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA d❑ <br /> Sample labels checked for correct preservation? Yes ./❑ No❑ <br /> pH acceptable upon receipt(Metal:<2;522: <4;218.7:>8)? Yes ❑ No❑ NA <br /> Samples Received on Ice? Yes 0 No❑ <br /> (Ice Type: WET ICE ) <br /> UCMR3 Samples: <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA W <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NA 0 <br /> 300.1,537,539? <br /> ---------------------------------------------- <br /> Comments: <br /> Page 9 of 9 <br />