Laserfiche WebLink
1534 Willow Pass Koad,Pittsburg.CA 94565-1701 <br /> 7Name: Ponder <br /> 1 Anal tical Inc. IV]FseeTelephom:(877)252-9262/Fax (925)252-9269 <br /> lattp./lwww.mccampbell.com/Fmail:main ri!nccampbell.corn <br /> uality'Counts" <br /> Sample Receipt Checklist <br /> pate and Time Received 1130!2017 17:30 <br /> ntal Services Date Logged: 1l30f2017 <br /> Project Name: 1pa <br /> 7-16039;Pacific Ethanol Spill 1 us201 Venegas <br /> Received by: g g <br /> WorkOrder Nc: 17011708 Matrix: ,.�r�°tlMlater <br /> Logged by: Briana Cutino <br /> Carrier: Client Drop-ln <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes 0 No❑ <br /> Chain of custody signed when relinquished and received? Yes Q No <br /> Chain of custody agrees with sample labels? Yes No❑ <br /> Sample IDs noted by Client on COC? Yes No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes ❑ No❑ <br /> Sam pie ReoiRt I <br /> Custody seals intact on shipping container/cooler? Yes <br /> �} No❑ NA <br /> Shipping container/cooler in good condition? Yes ❑ No❑ <br /> Samples in proper containerstbottles? Yes ❑ No <br /> Sample containers intact? Yes No❑ <br /> Sufficient sample volume for indicated test? Yes No❑ <br /> Samule Preservation and Hold Time(HT)Informgjt 2D <br /> All samples received within holding time? <br /> Yes 0 No® NA❑ <br /> Sample/Temp Blank temperature <br /> Temp: 10.6°C NA a <br /> Water-VOA vials have zero heads pace t no bubbles? <br /> Yes a No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes 0 No❑ <br /> pH acceptable upon receipt(Metal:<2;522: <4;218.7:>8)? Yes <br /> 0 No❑ NA❑ <br /> Samples Received on Ice? Yes ® No❑ <br /> (Ice Type: WET ICE ) <br /> UCMR3 Samples: NA 0 <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ <br /> No NA <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes <br /> ❑ ❑� <br /> 300.1,537,539? <br /> Comments Method SM4500H+B(pH)was received passed its 0.01-day holding time. <br /> Page 69 of 69 <br />