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1534 Wllaw Pass Road,Pittsbcus,CA 94565-1701 <br /> McCampbell Analytical, Inc. Tell rrecTcleplime:(877)252-92621ras(925)252-9269 <br /> 4' "When Quality Counts" h1tpJAvrvw.nx=mpbell.cam I E-moil:main(almccnmpbcll.cum <br /> Sample Receipt Checklist <br /> Client Name: Advanced industrial Coatings Date and Time Received. 412512019 12:36 <br /> Project: Waste Powder Dale Logged: 412512019 <br /> Received by: Agustina Venegas <br /> WorkOrder Ns: 1904C15 Matd)c Solid Logged by: Agustina Venegas <br /> Gamer: Client Droo-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes 6a No❑ <br /> Chain of custody signed when relinquished and received? Yes W No❑ <br /> Chain of custody agrees with sample labels? Yes No❑ <br /> Sample lDs 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 /> GOC agrees with Quote? Yes ❑ No❑ NA W <br /> Sample Receipt Information <br /> Custody seals intact on shipping containerlcooleO Yes ❑ No❑ NA 0 <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containersibottles? Yes © No❑ <br /> Sample containers intact? Yes 0 No❑ <br /> Sufficient sample volume for indicated test? Yes R] No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes W No❑ NA❑ <br /> Samples Received on Ice? Yes ❑ No W <br /> Sampleffemp Blank temperature Temp: 27.1°C NA❑ <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes ❑ No❑ NA❑✓ <br /> Sample labels checked for correct preservation? Yes Q No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.214500NO3: Yes ❑ No❑ NA RJ <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3:s4; Yes ❑ No❑ NA❑d <br /> 530::57;541:<3;544:<13.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.1 mglL)? Yes ❑ No❑ NAW <br /> --------------------------_.__.---....,.._._....-.—_......_........_._.....__..._...---- <br /> ----------------------- ------------------------ <br /> Comments: <br /> Page 10 of 10 <br />