COMPLIANCE INFO_2020 (2) - Laserfiche WebLink

Home Browse Search

1534 Willow Pass Road, Pittsburg, CA 94565. 1701 ft M c C a m p b e I l Analytical , Inc . Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 " When Quality Counts " http://www.mccampbeH.com / E-mail: main@mccampbell.com Sample Receipt Checklist Client Name : CLS Labs Date and Time Received 6/26/2017 11 :05 Project Name : 17F1017 ; Dye Penetrant Rinse Date Logged : 6/26/2017 Received by: Jena Alfaro WorkOrder Ne : 1706C37 Matrix: Water Logged by: Kena Ponce Carrier: Client Drop-In Chain of Custody (COC) Information Chain of custody present? Yes No ❑ Chain of custody signed when relinquished and received ? Yes No ❑ Chain of custody agrees with sample labels ? Yes No ❑ Sample IDs noted by Client on COC? Yes No ❑ Date and Time of collection noted by Client on COC? Yes No ❑ Sampler's name noted on COC? Yes ❑ No W Sample Receipt Information Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA W Shipping container/cooler in good condition? Yes 0 No ❑ Samples in proper containers/bottles ? Yes No ❑ Sample containers intact? Yes No ❑ Sufficient sample volume for indicated test? Yes No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes W No ❑ NA ❑ Sample/Temp Blank temperature Temp : 9 . 5°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NA ❑✓ Sample labels checked for correct preservation? Yes W No ❑ pH acceptable upon receipt (Metal : <2; 522 : <4 ; 218 .7 : >8)? Yes ❑ No ❑ NA Samples Received on Ice? Yes 0 No ❑ ( Ice Type : WET ICE ) UCMR3 Samples : Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No ❑ NA Free Chlorine tested and acceptable upon receipt for EPA 218 .7 , Yes ❑ No ❑ NA 300 . 11 537 , 539? — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Comments : Page 7 of 7