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® 1534 Willow Paas Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts^ I <br /> http://www.mccampbef.com/E-mail:main a@mc pbell.com <br /> Sample Receipt Checklist <br /> Client Name: Neil O.Anderson&Associates Date and Time Received: 312812014 9:20:22 PM <br /> Project Name: #LZV140001;NOA Drywall,Lodi,Ca Login Reviewed by: Ana Venegas <br /> WorkOrder N": 1403ASS Matrix: Soil/Water Cartier: Daniel(MAI Courier) <br /> Chain of Custody(CDC)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? Yesd❑ No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes © No❑ <br /> Samole Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NAW <br /> Shipping container/cooler in good condition? Yes d❑ No❑ <br /> Samples in proper containers/bottles? Yes W 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 0 No❑ <br /> Contamer/Temp Blank temperature Cooler Temp: 3.9°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA P1 <br /> Samples Received on Ice? Yes ❑ No PI <br /> `NOTE:ff the"No"box is checked,see comments below. <br /> ---------------------------------------------- <br /> Comments: <br /> Page 79 of 79 <br />