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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Ing. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> ®� "When Qualitp Counts" http://www.mccampbelf.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 10/24/2013 5:05:07 PM <br /> Project Name: #4601M4;Mountain House Neigh C Logln Reviewed by: Maria Venegas <br /> WorkOrder N°: 1310807 Matrix: ,SQJ Carrier: Client Drop-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? Yes © No❑ <br /> Sampler's name noted on COC? Yes © No❑ <br /> Samole 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 © No❑ <br /> Sample Preservation and Hold Time(HT1 Information <br /> All samples received within holding time? Yes ❑d No❑ <br /> Container/Temp Blank temperature Cooler Temp: 7.6°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA <br /> Samples Received on Ice? Yes ❑d No❑ <br /> (Ice Type: WET ICE ) <br /> NOTE.If the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page I I of 11 <br />