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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical. Inc. Web:www.mcwmpbell.om E-mail:may@m ampbell.om <br /> When Quality Couvts" <br /> Telephone:877-252-9262 Fax:925-252-9269 <br /> • Sample Receipt Checklist <br /> Client Name: WGR Southwest, Inc. Date and Time Received: 05114108 8:35:36 PM <br /> Project Name: #704.PRI.05; LEARNER Checklist completed and reviewed by: Samantha Arbuckle <br /> WorkOrder N`: 0805377 Matrix Soil[Water Carrier: Client Droo-In <br /> Chan of Custody(CDC)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 21 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 © No ❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ® No❑ NA ❑ <br /> Shipping container/cooler in good condition? Yes 91 No ❑ <br /> Samples in proper containers/bottles? Yes © No❑ <br /> Sample containers intact? Yes 91 No ❑ <br /> Sufficient sample volume for indicated test? Yes 21 No❑ <br /> • Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 21 No❑ <br /> Container/Temp Blank temperature Cooler Temp: 11.9°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 © No ❑ <br /> TTLC Metal-pH acceptable upon receipt(pH<2)? Yes © No❑ NA ❑ <br /> Client contacted: Date contacted: Contacted by: <br /> Comments: <br /> • <br />