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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c C a m p b e I l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received 8/30/2018 12:30 <br /> Project: NAI 87043;Flag City#4 Date Logged: 8/30/2018 <br /> Received by: Jena Alfaro <br /> WorkOrder Ns: 1808D80 Matrix: Wa er Logged by: Jena Alfaro <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes V No L-i <br /> Chain of custody signed when relinquished and received? Yes v*1 No❑ <br /> Chain of custody agrees with sample labels? Yes 141 No❑ <br /> Sample IDs noted by Client on COC? Yes 4 No❑ <br /> Date and Time of collection noted by Client on COC? Yes V No❑ <br /> Sampler's name noted on COC? Yes V No❑ <br /> COC agrees with Quote? Yes No❑ NA IV <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes — No❑ NA V <br /> Shipping container/cooler in good condition? Yes !V-1 No❑ <br /> Samples in proper containers/bottles? Yes ] No❑ <br /> Sample containers intact? Yes LVI No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes V-1 No❑ NA <br /> Samples Received on Ice? Yes 7 No <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 2.1°C NA <br /> Water-VOA vials have zero headspace/no bubbles? Yes V 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 V <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52; 525.3:54; Yes No❑ NA V <br /> 530::97;541: <3; 544: <6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes No❑ NA V <br /> Comments: <br />