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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.coin/E-mail:tnain a?mccampbell com <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 11/15/2013 3:54:04 PM <br /> Project Name: #4601M4; Mountain House Neigh. C Logln Reviewed by: Zoraida Cortez <br /> WorkOrder N°: 1311508 Matrix: Soil Carrier: Tim Tatum(MAI Courier) <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 W 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 /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yesd❑ 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 W No❑ <br /> Container/Temp Blank temperature Cooler Temp: 4.6'C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA❑�/ <br /> Sample labels checked for correct preservation? Yes W No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA W <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 9 of 9 <br />