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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c C a m p b e I l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "N'heu Qutt//P}'COUp/S" http://www.inccampbell.com/E-mail:mainra4nccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Environmental Logistics Date and Time Received: 4/3/2015 5:10:54 PM <br /> Project Name: BNSF Stockton#41731 Logln Reviewed by: Jena Alfaro <br /> WorkOrder N9: 1504168 Matrix aQ1jJ Carrier Client Drop-In <br /> Chain of Custody(COC) Information <br /> Chain of custody present? Yes a No L <br /> Chain of custody signed when relinquished and received? Yes ❑d No❑ <br /> Chain of custody agrees with sample labels? Yes d❑ No❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑d 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 d❑ <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes W No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Sample Preservation and Hold Time(HT1 Information <br /> All samples received within holding time? Yes W] No❑ <br /> Sample/Temp Blank temperature Temp: NA <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA d❑ <br /> Sample labels checked for correct preservation? Yes Fl/-] No❑ <br /> pH acceptable upon receipt(Metal: <2; 522: <4;218.7: >8)? Yes ❑ No❑ NA❑� <br /> Samples Received on Ice? Yes ❑ No W <br /> UCMR3 Samples: <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA❑d <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NA❑.I <br /> 300.1, 537, 539? <br /> 'NOTE.If the "No"box is checked, see comments below. <br /> - --- -- ---- -------- <br /> Comments: <br />