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. 1534 Wi11ow Pass Road,Pittsburg, A 94565-1701 <br /> McCam bell Anal tical Inc. WwE-mail:b: <br /> ww.mccampbell.com E-mail:main@mccampbelS.com <br /> "When OualitvCounls" Telephone:877-252-9262 Fax:925-252-9269 <br /> Sample p <br /> 1 Receipt Checklist <br /> Client Name: Advanced GeoEnvironmental, Inc. Date and Time Received: 06/29/07 9:20:36 AM <br /> Project Name: Grewal's Market Checklist completed and reviewed by: Rosa Venegas <br /> WorkOrder N 0706775 Matrix Water Carrier: CA OverNight <br /> Chain of Custody COC Information <br /> Chain of custody present? "Yes © No ❑ <br /> Chain of custody signed when relinquished and received?. Yes W1 No❑ <br /> Chain of custody agrees with sample labels? Yes No ❑ <br /> © <br /> Sample IDs noted by Client on COC? 'Yes No ❑ I <br /> Date and Time of collection noted by Client on COC? 'Yes `❑ No❑ <br /> Sampler's name noted on COC? Yes 0 No <br /> i <br /> i <br /> Sample Receipt Information <br /> Custody seals intact on shippping container/cooler? Yes W1 No❑ NA ❑ <br /> Shipping container/cooler in good condition? 'Yes No❑ <br /> Samples in proper containerslbottles? 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 [I No❑ <br /> ContainerlTemp Blank temperature Cooler Temp:. 6.2°C NA ❑ <br /> Water-VOA vials have zero headspace l no bubbles? Yes 0 No ❑ No VOA vials submitted❑ <br /> Sample labels checked for correct preservation? Yes 0 No❑ <br /> I. J <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No ❑ NA.0 <br /> ______________=______________--__==-__________- l <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br />