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0 10 CCalYlpbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701 1. U ll A 1 1 1 Web: www.mccampbell.com E-mail: main@mccampbell.com "When Oualitv Counts" Telephone: 877-252-9262 Fax: 925-252-9269 Sample Receipt Checklist Client Name: Shaw Environmental Project Name: #129033.47; AT&T -Bakersfield (M) WorkOrder N": 0812109 Matrix Water Date and Time Received: 12/3/08 6:30:32 PM Checklist completed and reviewed by: Samantha Arbuckle Carrier: UPS Chain of Custody (COC) Information Chain of custody present? Yes R No ❑ Chain of custody signed when relinquished and received? Yes ® No ❑ Chain of custody agrees with sample labels? Yes ❑ No ❑ Sample IDs noted by Client on COC? Yes ® No ❑ Date and Time of collection noted by Client on COC? Yes No ❑ NA ❑ No ❑ Sampler's name noted on COC? Yes No ❑ No ❑ Custody seals intact on shipping container/cooler? Shipping container/cooler in good condition? Samples in proper containers/bottles? Sample containers intact? Sufficient sample volume for indicated test? Sample Receipt Information Yes ® No ❑ Yes ® No ❑ Yes No ❑ Yes ® No ❑ Yes ® No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes 21 No ❑ Containerrremp Blank temperature Cooler Temp: 4.6"C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes 21 No ❑ No VOA vials submitted ❑ Sample labels checked for correct preservation? Yes Q No ❑ TTLC Metal - pH acceptable upon receipt (pH<2)? Yes No ❑ NA ❑ Samples Received on Ice? Yes`❑ No ❑ (Ice Type: WET ICE NOTE: If the "No" box is checked, see comments below. — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Client contacted: Comments: Date contacted: Contacted by: