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McCampbell Analytical. Inc. 1534 Willow Faso aced,Pusburg,`A 94565-1701 <br /> Toa Free Telephme:(877)252-9262/Fm:(925)252-9269 <br /> "When Quality Counts" http://www..ffipbell.com/&meil:mein@n campbea.com <br /> Sample Receipt Checklist <br /> Client Name: Tenacm Date and Time Received 3/30/2017 14:40 <br /> Project Name: NA177006;Recreational Service Facility Date Logged: 3130/2017 <br /> Received by: Jena Alfaro <br /> WorkOrder Ns: 1703F94 Matrix: Water Logged by: Jena Alfaro <br /> Carrier: David Shaver(MAI Courierl <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes V No❑ <br /> Chain of custody signed when relinquished and received? Yes E No❑ <br /> Chain of custody agrees with sample labels? Yes 0 No❑ <br /> Sample IDs noted by Client on COC? Yes 0 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 RepelM Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No I NA VI <br /> Shipping container/cooler in good condition? Yes No <br /> Samples in proper containers/bottles? Yes 0 No <br /> Sample containers intact? Yes No <br /> Sufficient sample volume for indicated test? Yes © No I_I <br /> Sample Preservation and Hold Preservation and Hold Time�lnformation <br /> All samples received within holding time? Yes W No❑ NA❑ <br /> Sample/Temp Blank temperature Temp: 4.8`C NA❑ <br /> Water-VOA vials have zero headspace/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 <br /> Samples Received on Ice? Yes © No❑ <br /> (IceType: WET ICE ) <br /> UCMR3UCMR3< plelil a��Rl <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA❑� <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NA <br /> 300.1,537,539? <br /> --------------------------------------------- <br /> -—————————————————————————— <br /> Comments: <br /> Page 11 of 11 <br />