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MCCampbell Analytical. Inc. 534 Willow Pass Road Pittsburg,CA 94565-1701 <br /> -rnxi <br /> Web:www.tnecampbell.wm E-mal:mam(amiccampbell.com <br /> "When Oualtty Counts" Telephone:877-252-9262 Fax:925-252-9269 <br /> r <br /> Sample Receipt Checklist <br /> _ Client Name: ETIC Date and Time Received: 10/5/2007 6:28:40 PM <br /> Project Name: Sara Lee- Airport Checklist completed and reviewed by: Ana Venegas <br /> WorkOrder N` 0710257 Matrix Soil Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes © No ❑ <br /> r <br /> Chain of custody signed when relinquished and received? Yes © No ❑ <br /> Chain of custody agrees with sample labels? Yes J❑ No ❑ <br /> r Sample On noted by Client on COC? Yes © No ❑ <br /> Date and Time of collection noted by Client on COC? Yes © No ❑ <br /> _ Samplers name noted on COC? Yes RI No ❑ <br /> Sam le Receipt Information <br /> r Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA RI <br /> Shipping container/cooler in good condition? Yes © No❑ <br /> Samples in proper containers/bottles? Yes RI No❑ <br /> r <br /> Sample containers intact? Yes ® No ❑ <br /> Sufficient sample volume for indicated test? Yes 171 No ❑ <br /> r <br /> Sample Preservation and Hold Time(HT) Information <br /> All samples received within holding time? Yes R) No ❑ <br /> Container/Temp Blank temperature Cooler Temp: 23.4'C NA ❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No ❑ No VOA vials submitted RI <br /> r Sample labels checked for correct preservation? Yes Q No ❑ <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No ❑ NA RI <br /> r --------------------------------------------- <br /> --------------------------------------------- <br /> Client contacted: Date contacted Contacted by: <br /> Comments: <br /> r <br /> r <br />