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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Countsrr http://www.mmmpbell.wm/E-mail:main@¢ cuVbeH.com <br /> Sample Receipt Checklist <br /> Client Name: Petralogix Date and Time Received 41912018 08:56 <br /> Project: Rosales NIS Date Logged: 41912018 <br /> Received by: Jena Altaro <br /> WorkOrder Na: 1804441 Matrix: Water Logged by: Kena Ponce <br /> Cartier. Client Droo-In <br /> Chain of Custody ICOCI Information ' <br /> Chain of custody present? Yes © No❑ <br /> Chain of custody signed when relinquished and received? Yes © No❑ <br /> Chain of custody agrees with sample labels? Yes RI No❑ 1 <br /> Sample IDs noted by Client on COC? Yes © No❑ <br /> Date and Time of collection noted by Client on COC? Yes W No❑ ' <br /> Sampler's name noted on COC? Yes 0 No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 2 ' <br /> Shipping container/cooler in good condition? Yes © No❑ <br /> Samples in proper containers/bottles? Yes RI No❑ <br /> Sample containers intact? Yes © No❑ <br /> Sufficient sample volume for indicated test? Yes No❑ <br /> Sample Preservation and Hold Time(HT)Information ' <br /> All samples received within holding time? Yes W No❑ NA❑ <br /> Samples Received on Ice? Yes ❑1 No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 5.9°C NA❑ <br /> Water-VOA vials have zero headspace I no bubbles? Yes © No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes No❑ <br /> pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ❑ No❑ NA❑d ' <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3:54; Yes ❑ No❑ NA❑✓ ' <br /> 530:57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.I mg/L)? Yes ❑ No❑ NA❑� <br /> Comments: <br /> Page 8 of 8 <br />