Laserfiche WebLink
MCCamnbell Analytical, Inc. 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> Web:www.mccampbell.com E-mail:main@nucampbell.com <br /> "When Ouality Counts" Telephone:877-252-9262 Fax:925-252-9269 <br /> • Sample Receipt Checklist <br /> Client Name: WGR Southwest, Inc. Date and Time Received: 5/1612008 6:54:23 PM <br /> Project Name: #704.PRI.05; LEARNER, 2711 Navy Dr., Stockton, Checklist completed and reviewed by: Ana Venegas <br /> WorkOrder N°: 0805464 Matrix SoIINVater Carrier: Michael Hernandez(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ® No❑ <br /> Chain of custody signed when relinquished and received? Yes 0 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 /> Samplers name noted on COC? Yes 0 No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 0 <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes R 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 /> Container/Temp Blank temperature Cooler Temp: 3.6"C NA ❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes R No❑ No VOA vials submitted❑ <br /> Sample labels checked for correct preservation? Yes © No❑ <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes No❑ PSA ❑ <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br /> • <br />