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h lyt+ <br /> 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> MCCampbell Analcal,_Inc, 1'o1lFree Telephone:(877)252-9262/Fax:(925)252-9269 <br /> �! <br /> "When Quality Counts" littp://www.iiiccaiiipbell.corii/E-mail:main(aUmecampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received 9/20/2019 14:20 <br /> Project: NA197073;Manteca Farm Improvements Date Logged: 9/20/2019 <br /> Received by: Kena Ponce <br /> WorkOrder Ns: 1909A39 Matrix: Water Logged by: Kena Ponce <br /> Carrier: Chris Breeze(contract courier) <br /> Chain of Custody iCOCI Information <br /> Chain of custody present? Yes ❑J 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 EV <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes a No❑ NA <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes © No❑ <br /> Sample containers intact? Yes 0 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 U No D NA <br /> Samples Received on Ice? Yes W No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 1.4°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No 0 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 W <br /> <2; 522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8::52;525.3:54; Yes ❑ No❑ NA W <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 V <br /> Comments: <br /> Page 10 of 10 <br />