Laserfiche WebLink
MCCampbell Analytical, Inc. 1534 Willow Pass Road.Pittsburg,CA 94565-1701 <br /> Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> ��. <br /> AM. "When Qualrtt Counts'r http:i,www.mccampbell.com/E-maiC mainrti)mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 10/23/2013 6:24:14 PM <br /> Project Name: #4601M4;Mountain House Neigh C Logln Reviewed by: Rosa Venegas <br /> WorkOrder N': 1310765 Matrix: Soil Carrier: Client Droo-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 No❑ <br /> Sample IDs noted by Client on COC? Yes © No❑ <br /> Date and Time of collection noted by Client on COC? Yesd❑ No❑ <br /> Sampler's name noted on COC? Yes ❑d No❑ <br /> Sample Receiot Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <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 1-:11 No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes E'r] No E <br /> Container/Temp Blank temperature Cooler Temp: 4.6°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA EV: <br /> Sample labels checked for correct preservation? Yes . No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NAW <br /> Samples Received on Ice? Yes d❑ No❑ <br /> (Ice Type: BLUE ICE ) <br /> NOTE.If the"No"box is checked,see comments below. <br /> ---------- ----------------- -------- ----------- <br /> ---------- -------- --------- - ----------------- <br /> Comments: <br /> Page 16 of 16 <br />