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j, I,., } 1534 Will..Pass Road,Pimbug CA 94565-1701 <br /> MCCampbell Analytical, Inc. Toll Flee Telephone:(877)252-9262/Fan(925)252-9269 <br /> �! \ <br /> "When Quality Counts" hpp://www.mccampbeH.com/E-mail:main(n=mpbe9.com <br /> Sample Receipt Checklist <br /> Client Name: Neil O.Anderson&Associates Date and Time Received: 4/1/2014 9:21:02 PM <br /> Project Name: #LZ140001;NOA Drywall, Lodi,CA Login Reviewed by: Ana Venegas <br /> WorkOrder N": 1404047 Matrix: Soil/Water Carder: Brian STANFORD(MAI Courier) <br /> Chain of Custody(COCl 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 W No❑ <br /> Sample IDs noted by Client on COC? Yes © No❑ <br /> Date and Time of collection noted by Client on COC? Yes © No❑ <br /> Sampler's name noted on COC? Yes 0 No❑ <br /> Sample Receiot Information , <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA V. <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 No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑d No❑ <br /> Container/Temp Blank temperature Cooler Temp: 1.1°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes W No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes ❑aI No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA <br /> Samples Received on Ice? Yes ❑d No❑ , <br /> (Ice Type: WET ICE ) <br /> •NOTE:/f the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 78 of 71 <br />