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/' 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> , M c C a m o b e I l A n a l yt i e a l, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:mainanccampbell.com <br /> J <br /> Sample Receipt Checklist <br /> Client Name: Universal Service Recycling Date and Time Received: 1/3/2020 11:16 <br /> Project: 1-Q-20-13;3200 SOUTH ELDORADO ST 95206 Date Logged: 1/3/2020 <br /> Received by: Tina Perez <br /> WorkOrder Ne: 2001077 Matrix: Solid Logged by: Tina Perez <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes 0 No❑ <br /> Chain of custody signed when relinquished and received? Yes No❑ <br /> Chain of custody agrees"Ith 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 W <br /> COC agrees with Quote? Yes ❑ No❑ NA 0 <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yes ❑d No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes ❑.i 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 ❑J No❑ NA❑ <br /> i <br /> Samples Received on Ice? Yes No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 1°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA❑� <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ No❑ NA 0 <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3::54; Yes ❑ No❑ NA❑d <br /> 530::s7;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA <br /> ---------------------------------------------- <br /> Comments: <br /> Page 20 of 20 <br /> f' <br />