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1534 Willow Pass Road.Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telepbone:(877)252-9262/Fax!(925)252-9269 <br /> r� itttp://wµuw.mccarnpbell.com'E-mail:main(aum:campbell.com <br /> "When Quality counts <br /> Sample Receipt Checklist <br /> Client Name: Petralogix Date and Time Received 6/20/2019 15:06 <br /> Project: Livermore Labs Date Logged: 6/20/2019 <br /> Received by: Lilly Ortiz <br /> WorkOrder NQ: 1906A31 Matrix: Water Logged by: Nancy Palacios <br /> Carrier: Client Drop-In <br /> Chain of Custody(COCl Information <br /> Chain of custody present? Yes IV1, No❑ <br /> Chain of custody signed when relinquished and received? Yes 4�1 No❑ <br /> Chain of custody agrees with sample labels? Yes II No❑ <br /> Sample IDs noted by Client on COC? Yes iii No❑ <br /> Date and Time of collection noted by Client on COC? Yes ] No❑ <br /> Sampler's name noted on COC? Yes Ll No❑ <br /> COC agrees with Quote? Yes 1-1 No❑ NA <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes i_ No❑ NA <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes 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 No❑ NA❑ <br /> Samples Received on Ice? Yes No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 0.6°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes 1;/1 No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes ilvl No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes l No❑ NA❑d <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:s2;525.3:s4; Yes ❑ Not NA <br /> 530:5.7;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.1mg/L)? Yes ❑ No❑ NA <br /> --------------------------------------------- <br /> Comments: <br /> Page 9 of 9 <br />