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04/09/2012 04:06 #6212 P-008/016 <br /> f <br /> 1534 WiDow Pass Road,Pittsbug,CA 945 65-170 1 <br /> McCampbell Analytical Inc. <br /> ` Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> When Quality Counts" httP//www.mccampbell.com/E-mail:maia@mecampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Ponder Environmental Services Date and Time Received: 3/12/2012 1:22:54 PM <br /> Project Name: #12-9007;Storm Water Checklist completed and reviewed by: Melissa Valles <br /> WorkOrder N': 1203319 Matrix: Water Carrier: Client Drop-In <br /> Chain of Custody lGnc1 Inforrngtio <br /> Chain of custody present? Yes ❑d No❑ <br /> Chain of custody signed when relinquished and received? Yes W No❑ <br /> Chain of custody agrees with sample labels? Yes W No❑ <br /> Sample IDs noted by Client on COC? Yes W No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes No❑ <br /> Sample Receipt information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 7 <br /> Shipping container/cooler in good condition? Yes © No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for indicated test? Yes No❑ <br /> Sample Preservation and Hold Time(HT1 Information <br /> All samples received within holding time? Yes Q No❑ <br /> Container/Temp Blank temperature Cooler Temp: 4.4°C NA❑ <br /> Water-VOA vials have zero headspa6e/no bubbles? Yes © No❑ No VOA vials submitted ❑ <br /> Sample labels checked for correct preservation? Yes No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes No❑ NA❑ <br /> Samples Received on Ice? Yes ✓❑ No❑ <br /> (Ice Type: WET ICE } <br /> *NOTE:if the"No"box is checked,see comments below. <br /> ' <br /> Comments: <br /> Page 4 of 12 <br />