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1534 W How Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" I <br /> http://www.n_ccampbell.com/E-mail:mainanccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Safety Kleen Date and Time Received 10/22/2019 09:30 <br /> Project: CH32532 Date Logged: 10/22/2019 <br /> Received by: Agustina Venegas <br /> WorkOrder Ns: 1910A65 Matrix: Water Logged by: Agustina Venegas <br /> Carrier: FedEx <br /> Chain of Custody(COC)Infonnatgn <br /> Chain of custody present? Yes No❑i <br /> Chain of custody signed when relinquished and received? Yes ❑ No k <br /> Chain of custody agrees with sample labels? Yes Vi No❑ <br /> Sample IDs noted by Client on COC? Yes 41 No <br /> Date and Time of collection noted by Client on COC? Yes No'. <br /> Sampler's name noted on COC? Yes ❑ No <br /> COC agrees with Quote? Yes ❑ No'❑ NA <br /> Sample Receil2t Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ Nc ice' NA <br /> Shipping container/cooler in good condition? Yes Nc❑ <br /> Samples in proper containers/bottles? Yes _. Nc'. <br /> Sample containers intact? Yes U Nc E <br /> Sufficient sample volume for indicated test? Yes l Nc <br /> Samole Preservation and Hold Time IHT) nformation <br /> All samples received within holding time? Yes F Nc❑i NA <br /> Samples Received on Ice? Yes Nc <br /> Sample/Temp Blank temperature Temp: 20.4°C NA <br /> Water-VOA vials have zero headspace/no bubbles? Yes Nc ❑ NA' <br /> Sample labels checked for correct preservation? Yes Nc J <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ Nc C NA <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:!52;525.3:54; Yes ❑ Nc❑ NA <br /> 530::97;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ Nc J' NA---------------------------------------------- <br /> -—————————————————————————---————————————— <br /> Comments: pH adjusted in Lab. <br />