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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c Campbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main n ccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Aquifer Sciences,Inc. Date and Time Received: 10/30/2013 6:59:05 PM <br /> Project Name: #981300 Login Reviewed by: <br /> WorkOrder N°: 1310983 Matrix: Water Carrier: <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 Receipt 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(HT)Information <br /> All samples received within holding time? Yes ❑ No❑ <br /> Container/Temp Blank temperature Cooler Temp: NA <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes ❑ No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA❑ <br /> Samples Received on Ice? Yes ❑ No❑� <br /> `NOTE:If the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> Comments: <br /> Page 13 of 13 <br />