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McCamabell Analytical, Inc. 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> Web:www.mmampbell.com E-mail:main mccampbell.com <br /> "When Oualib Counts" I Tele hone:877-252-9262 Fax:925-252-9269 <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 12/13/2007 7:03:36 PM <br /> Project Name: #5358A Checklist completed and reviewed by: Rosa Venegas <br /> WorkOrder N`: 0712440 Matrix Soil Carrier: Michael Hernandez(MAI Courierl <br /> Chain of Custody(CDC)Information <br /> Chain of custody present? Yes W) 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 5/❑ No ❑ <br /> Date and Time of collection noted by Client on COC? Yes R1 No ❑ <br /> Sampler's name noted on COC? Yes v❑ No ❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA <br /> Shipping container/cooler in good condition? Yes © No ❑ <br /> _ Samples in proper containers/bottles? Yes © No ❑ <br /> Sample containers intact? Yes J❑ No ❑ <br /> Sufficient sample volume for indicated test? Yes 0 No ❑ <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: 4.6°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 J❑ No ❑ <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No ❑ NA <br /> ———————————————————————————————————————————- <br /> -———————————————————————————————————————————— <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br />