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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> ® Mccampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> When Quality Counts" http://www.mccampbell.cont/E-mail:mainCamccampbell.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 0 No It <br /> Chain of custody signed when relinquished and received? Yes ❑■ No W <br /> Chain of custody agrees with sample labels? Yes No❑■ <br /> Sample IDs noted by Client on COC? Yes No❑i <br /> Date and Time of collection noted by Client on COC? Yes W No❑� <br /> Sampler's name noted on COC? Yes A No❑� <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes No NA W <br /> Shipping container/cooler in good condition? Yes No 0 <br /> Samples in proper containers/bottles? Yes No 0 <br /> Sample containers intact? Yes No❑R <br /> Sufficient sample volume for indicated test? Yes No❑I■ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes Efl No FEW <br /> Container/Temp Blank temperature Cooler Temp: NAW <br /> Water-VOA vials have zero headspace/no bubbles? Yes 0 No❑■ NA❑i <br /> Sample labels checked for correct preservation? Yes 0 No 0 <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑l■ No 0 NA❑! <br /> Samples Received on Ice? Yes ❑ No❑d <br /> "NOTE:If the"No"box is checked,see comments below. <br /> Comments: <br /> Page 13 of 13 <br />