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McCampbell Analytical. Inc. 1534 Willow Pass Road,Pinsburg,CA 94565-1701 <br /> Web:www.mccampbell.com E-mail:main@mccampbell.com <br /> "When Oualiw Counts" Tele hone:877-252-9262 Fax:925-252-9269 <br /> • Sample Receipt Checklist <br /> Client Name: WGR Southwest, Inc. Date and Time Received: 05115108 6:45:00 PM <br /> Project Name: #704.PRI.05; Learner Checklist completed and reviewed by: Maria Venegas <br /> WorkOrder N°: 0805420 Matrix Soil/Water Carrier: Client Drop-In <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 91 No ❑ <br /> Sample IDs noted by Client on COC? Yes J❑ No ❑ <br /> Date and Time of collection noted by Client on COC? Yes © No ❑ <br /> Sampler's name noted on COC? Yes 17 No ❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA Sfl <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 ❑ <br /> Container/Temp Blank temperature Cooler Temp: 4.8°C NA ❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes © No ❑ No VOA vials submitted❑ <br /> Sample labels checked for correct preservation? Yes Rl No ❑ <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No ❑ NA <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br />