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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> ® McCampbell Analytical, Inc. ToH Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" I <br /> http://www.inceampbell.com/E-mail:main(r_t�nccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 11/25/2013 8:27:01 AM <br /> Project Name: #4601M4;Mountain House Neigh.C Login Reviewed by: Maria Venegas <br /> WorkOrder N°: 1311869 Matrix: Soil Carrier: Client Droo-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes W No❑ <br /> Chain of custody signed when relinquished and received? Yes W No❑ <br /> Chain of custody agrees with sample labels? Yes W No❑ <br /> Sample IDs noted by Client on COC? Yes W No❑ <br /> Date and Time of collection noted by Client on COC? Yes W No❑ <br /> Sampler's name noted on COC? Yes W No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 0 <br /> Shipping container/cooler in good condition? Yes W No❑ <br /> Samples in proper containers/bottles? Yes W No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for indicated test? Yes 0 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: 5.4°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❑J <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 10 of 10 <br />