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CCampbell Analytical, Lnc. 1534 Willow Pass Road, Pittsburg, CA 94565-1701 Web: www.mccampbell.com E-mail: main(.mccampbell.com "When OualityCounts" Telephone:877-252-9262 Fax: 925-252-9269 Sample Receipt Checklist Client Name: Shaw Environmental Project Name: #129033.47; AT&T -Bakersfield (20) WorkOrder N": 0812110 Matrix Water Date and Time Received: 1213/08 6:50:29 PPA Checklist completed and reviewed by: Samantha Arbuckle Carrier:IPSP Chain of Custody (COCl Information Chain of custody present? Yes ® No ❑ Chain of custody signed when relinquished and received? Yes ® No ❑ Chain of custody agrees with sample labels? Yes Water - VOA vials have zero headspace / no bubbles? No ❑ Sample IDs noted by Client on COC? Yes ❑ No ❑ Date and Time of collection noted by Client on COC? Yes 0 No ❑ Sampler's name noted on COC? Yes ® 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 21 No ❑ Yes ® No ❑ Yes ® No ❑ NA ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes ® No ❑ Container/Temp Blank temperature Cooler Temp: 4.6°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes d❑ No ❑ No VOA vials submitted ❑ Sample labels checked for correct preservation? Yes 0 No ❑ TTLC Metal - pH acceptable upon receipt (pH<2)? Yes 0 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: