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,s <br /> 4 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c C a m p b e I I A n a I yt i s a_LI 11 C. Toll Frm Telephone:(877)252-92621 Fax:(925)252-9269 <br /> "When QuRlltp Counts" hnp/1www.mccampbellxom i E-mail main u@mccampbcll.com <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Labs Date and Time Received: 11/1812011 2:02:35 PAR <br /> Project Name: #1110095/Vogue Cleaners-Stockton Checklist completed and reviewed by: Maria Venegas <br /> WorkOrder N': 1111640 Matrix: Soil Carrier: UPS <br /> Chain of Custodn iCOCLlnformation <br /> Chain of custody present? Yes. ❑ NIo❑ <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 .❑ 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 Infermatlon <br /> Custody seals intact on shipping containerlcooler? Yes ❑ NI4 ❑ NA 0 <br /> Shipping container/cooler in good condition? Yes R No❑ <br /> Samples in proper containers/bottles? Yes W No❑ <br /> Sample containers intact? Yes W No❑ <br /> Sufficient sample volume for indicated test? Yes ❑.1 No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes NO❑ <br /> Container/Temp Blank temperature Cooler Temp: NA❑+� <br /> Water-VOA vials have zero headspace!no bubbles? Yes LJ No❑ No VOA vials submitted ❑ <br /> Sample labels checked for correct preservation? Yes d❑ No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA❑ <br /> Samples Received on Ice? Yes ❑ No❑v/ <br /> NOTE.If the"No"box is checked,see comments below, <br /> Comments: <br /> } <br />