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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c C a m p b e I l Analytical, I n c. Toll Frec Telephone:(877)252.9262/Fax:(925)252-9269 <br /> � "When Quality Counts" hltp://www.mcc:uxnpbell.com/E-mail:main(n?mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Petralogix Date and Time Received 7/18/2018 08:46 <br /> Project: Crusenbery NLS Date Logged: 7/18/2018 <br /> Received by: Jena Alfaro <br /> WorkOrder Ns: 1807733 Matrix: Water Logged by: Jena Alfaro <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)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 No,— <br /> Sample IDs noted by Client on COC? Yes No <br /> Date and Time of collection noted by Client on COC? Yes No— <br /> Sampler's name noted on COC? Yes No <br /> COC agrees with Quote? Yes No NA V <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 No <br /> Samples in proper containers/bottles? Yes V No <br /> Sample containers intact? Yes V No <br /> Sufficient sample volume for indicated test? Yes V No i i <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: 5.1°C NA'` <br /> Water-VOA vials have zero headspace/no bubbles? Yes 1 No NA d <br /> Sample labels checked for correct preservation? Yes d! No <br /> pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes No NA V1 <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3::54; Yes No NA'V <br /> 530:57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes No NA V1 <br /> Comments: <br /> Page 8 of 8 <br />