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1534 Willow Puss Road,Pittsburg,CA 94565.1701 <br /> MCCaMDbell Analytical, Inc. Toll Free Telephone:(977)252-9262 1 Fax:(925)252-9269 <br /> "When Q!lRjllp Counts" http:llwww.iirecamm! apbell.coE-mail:main nccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Date and Time Received: 101311201910:15 <br /> Project: 1910108/Premier Finishing 1 Premier Finishing Date Logged: 10/31/2019 <br /> Received by: Tina Perez <br /> WorkOrder Ne: 1910E17 Matrix: Sludge Logged by: Tina Perez <br /> Carrier: UPS <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes W 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 0 No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes ❑ No J❑ <br /> COC agrees with Quote? Yes No❑ NA❑ <br /> Sample Receiut Information <br /> Custody seals intact on shipping container/cooler? Yes No❑ NA❑ <br /> Shipping containerlcooler in good condition? Yes No❑ <br /> Samples in proper containersibottles? Yes No❑ <br /> Sample containers intact? Yes ❑ No❑ <br /> i <br /> Sufficient sample volume for indicated test? Yes Wl No❑ @I <br /> 1 <br /> Sample Preservation and Hold Time(HT)Inform ion <br /> All samples received within holding time? Yes ❑9I No❑ NA❑ <br /> Samples Received on Ice? Yes W No❑ <br /> (Ice Type: BLUE ICE ) <br /> SamplelTemp Blank temperature Temp: 4.3'C NA❑ <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes ❑ No❑ NA❑d <br /> Sample labels checked for correct preservation? Yes ® No❑ <br /> pH acceptable upon receipt(Metal: <2;Nitrate 353.21450ONO3: Yes ❑ No❑ NA <br /> <2; 522: <4;218.7: >8)? <br /> 31 <br /> I <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:s2;525.3::-4; Yes ❑ No❑ NA❑d j <br /> 530:s7;541:<3;544: <6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.1mg1L)? Yes ❑ No❑ NA <br /> Comments: <br /> Pa nn 1 I of 1 1 <br />