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I,., } 1534 Willow Pass Raad Pittsburg,CA 94565-1701 <br /> f� MCCa mpr-J PiII AnalyllCal, II1C. h��/µreµ,Tmccsmpbeaacom?E-mailZ/mala (9@mceamP�LLcom <br /> sem' "When Qunliry Counrs" <br /> Sample Receipt Checklist <br /> Client Name. Neil O. Anderson&Associates Date and Time Received: 411612014 5:42:04 PM <br /> Login Reviewed by: Ana Venegas <br /> Project Name: #LZV140001; NOA Drywall L ' <br /> WorkOrder N°: 1404677 Matrix: Soil <br /> Carrier: Brian STANFORD(MAI COMIJ90 <br /> -in of CLstodv(GOC)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 No❑ ' <br /> Sampler's name noted on COC? Yes No❑ <br /> Sample Receipt Information ' <br /> Custody seals intact on shipping container/cooler? Yes <br /> No❑ NA© <br /> 11 <br /> Shipping container/cooler in good condition? Yes F/I 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 Preservatlon and Hold Time(HT1 Information <br /> All samples received within holding time? Yes W No❑ ' <br /> Conlainerlfemp Blank temperature <br /> Cooler Temp: 2.1'C NA❑ <br /> Water-VOA vials have zero headspace I no bubbles? Yes ❑ <br /> No❑ NA O ' <br /> Sample labels checked for correct preservation? Yes Q No❑ <br /> Metal-pH acceptable upon receipt(pH42)? Yes El No El NAW <br /> Samples Received on Ice? Yes © No❑ <br /> (Ice Type: WET ICE ) <br /> 'NOTE:If the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> Comments:—_Comments: <br /> Page 10 of 11 <br />