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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 Counts <br /> n http:liHw,m eampbell.com/E-mil:main(2,mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Petralogix Date and Time Received 6/19/2019 12:24 <br /> Project: LLNL;Livermore Date Logged: 6/19/2019 <br /> Received by. Nancy Palacios <br /> WorkOrder Ne: 1906941 Matrix: Water Logged by: Nancy Palacios <br /> Carrier: Client Droo-In <br /> Chain of Custody(COCl Information <br /> Chain of custody present? Yes J No j <br /> Chain of custody signed when relinquished and received? Yes 41 No <br /> Chain of custody agrees with sample labels? Yes IFt/l No <br /> Sample IDs noted by Client on COC? Yes CI No FJ <br /> Date and Time of collection noted by Client on COC? Yes k No <br /> Sampler's name noted on COC? Yes L] No El <br /> COC agrees with Quote? Yes 171 No❑ NA U <br /> Samole Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes <br /> NoEl NA J <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes 411 No❑ <br /> Sample containers intact? Yes 01 No❑ <br /> Sufficient sample volume for indicated test? Yes vli� No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ILV, No L_' NA❑ <br /> Samples Received on Ice? Yes id' No L_1 <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 5.7°C NA I__ <br /> Water-VOA vials have zero headspace/no bubbles? Yes i_J No . NA ISI <br /> Sample labels checked for correct preservation? Yes ; No! <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.214500NO3: Yes No'_1 NA <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8.:S2,525.3.:54; Yes No NA LV, <br /> 530:57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1mg/L)? Yes ! No_ NA v�,' <br /> ————————————————————————————————————————————— <br /> Comments: <br /> Page 10 of 10 <br />