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1534 <br />llow <br />McCampbell Analytical Inc. :,,w,rcampbcs.cono E-mail8, CA 945c=pb 1 <br />W eb: www.mwmpbell.wm E-mail: mam�amccampbell.com <br />'Whe. O EtvC 1s" 7I pb :877-252-9262 Fax: 925-252-9269 <br />Sample Receipt Checklist <br />Client Name: Ponder Environmental services Date and Time Received: 1/29/0812:57:27 PM <br />Project Name: Tank 3302 Checklist completed and reviewed by: Melissa Valles <br />WorkOrder N°: 0801699 Matrix Solid Carrier: Client Drop -In <br />Chain of Custody (COCl Information <br />Chain of custody present? <br />Yes <br />21 <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />© <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />❑ <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />© <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yes <br />❑ <br />No ❑ <br />Sampler's name noted on COC? <br />Custody seals intact on shipping container/cooler? <br />Shipping container/cooler in good condition? <br />Samples in proper containers/bottles? <br />Sample containers Intact? <br />NSufficient sample volume for indicated test? <br />All samples received within holding time? <br />Yes RI No ❑ <br />Sample Receipt Information <br />Yes ❑ No ❑ NA EZ <br />Yes ❑ No ❑ <br />Yes ❑ No ❑ <br />Yes ® No ❑ <br />Yes No ❑ <br />Sample Preservation and Hold Time (HT) Information <br />Yes R) No ❑ <br />Container/Temp Blank temperature Cooler Temp: 17.2°C NA ❑ <br />Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted <br />RI <br />Sample labels checked for correct preservation? Yes 21 No ❑ <br />TTLC Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA <br />RI <br />Client contacted: <br />Comments: <br />Date contacted: <br />Contacted by: <br />