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Pas ® McCampbell Analytical, Inc. Fre W;leph ne:(87 )252/ abmg CA (925)217-1 Tall Free Telephone:(877)252-9262/Fac:(925)252-9269 "When Quality Counts I http://www.=campbell.com/E-mail:main@=campbell.com Sample Receipt Checklist Client Name: Patriot Environmental Services Date and Time Received 12/19/2017 09:40 Project: 11-17-00470;ASH Transportation Date Logged: 12/19/2017 Received by: Jena Alfaro WorkOrder Ns: 1712819 Matrix: Soil Logged by: Jena Alfaro Carrier: Client Drop-In Chain of Custody/COCl Information Chain of custody present? Yes L*11 No❑ Chain of custody signed when relinquished and received? Yes No❑ Chain of custody agrees with sample labels? Yes No❑ Sample IDs noted by Client on COC? Yes W No❑ Date and Time of collection noted by Client on COC? Yes No❑ Sampler's name noted on COC? Yes No❑ COC agrees with Quote? Yes ❑ No❑ NA W Samole Receipt Information Custody seals intact on shipping container/cooler? Yes No❑ NA❑� Shipping container/cooler in good condition? Yes ❑ No❑ Samples in proper containers/bottles? Yes 0 No❑ Sample containers intact? Yes © No❑ Sufficient sample volume for indicated test? Yes 0 No❑ Sample Preservation and Hold Time(HT)Information All samples received within holding time? Yes ❑] No❑ NA❑ Sample/Temp Blank temperature Temp: 7.7"C NA❑ Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA J❑ Sample labels checked for correct preservation? Yes © No❑ pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ❑ No❑ NA J❑ Samples Received on Ice? Yes © No❑ (Ice Type: WET ICE ) UCMR Samoles: Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA .❑ Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NA 300.1,537,539? --------------------------------------------- Comments: Page 19 of 19