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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> 1.�'` { M c C a m p b e I l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> ' 'When Quality Counts" hap://www rnecampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Advanced GeoEnvironmental, Inc. Date and Time Received 10/11/2019 14:00 <br /> Project: Leon Property Date Logged: 10/11/2019 <br /> Received by: Nancy Palacios <br /> WorkOrder Ns: 1910571 Matrix: Water Logged by: Nancy Palacios <br /> Carrier: Chris Breeze(contract courier) <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 0 No❑ <br /> Sampler's name noted on COC? Yes No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA❑� <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ 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 0 No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 0 No❑ NA❑ <br /> Samples Received on Ice? Yes 0 No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 1.2°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes RI No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes d❑ No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ No❑ NA❑� <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;5253:54; Yes ❑ No❑ NA <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 <br /> --------------------------------------------- <br /> Comments: <br /> D-a„f <br />