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XP McC:am be I Analytical, Inc, 1534 Willow Pass Road, Pittsburg, CA 94565-1701 l Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 I v�F "When ,,lily Counts" http://www.mccampbell.com / E-mail: mainCmccampbell.com Sample Receipt Checklist Client Name: Safety Kleen Date and Time Received: 8/25/2011 10:14:35 AM Project Name: McGill Metals; Mc ill Air Flow Checklist completed and reviewed by: Melissa Valles WorkOrder N°: 1108738 Matrix: qW Carrier: Client Drop -In Chain of Custody (COC) Information Chain of custody present? Yes No ❑ Chain of custody signed when relinqui hed and received? Yes 0 No ❑ Chain of custody agrees with sample I bels? Yes ❑ No ❑ Sample IDs noted by Client on COC? Yes No ❑ Date and Time of collection noted by C ient on COC? Yes No ❑ Sampler's name noted on COC? Yes ❑ No ❑/ Sample Receipt Information Custody seals intact on shipping contai er/cooler? Yes ❑ No ❑ NA EVI Shipping container/cooler in good cond ion? Yes�/❑ No ❑ Samples in proper containers/bottles? Yes No ❑ Sample containers intact? Yes d❑ No ❑ Sufficient sample volume for indicated t st? Yes No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time. Yes No ❑ Container/Temp Blank temperature Cooler Temp: 23.6°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted Sample labels checked for correct prese ation? Yes ❑e No ❑ Metal - pH acceptable upon receipt (pH< )? Yes ❑ No ❑ NA Samples Received on Ice? Yes ❑ No ❑V *NOTE.* If the "No" box is checked, see omments below. ---------------- Client contacted: Comments: Date contacted: Contacted by: Page 4 of 6