COMPLIANCE INFO_2011-2012 - Laserfiche WebLink

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1534 Willow Pass CA 94565- 1701 14 M C C d m p bel I An g ter i c a0 • ' n i. • Toll Free Telephone: (Road, 77)252-9262 / Fax: (425) 252-9269 rr"en uul Counts" httpJ/www.roccampbell.com / E-mail: nam@rnccampbell com Sample Receipt Checklist Client Name: Chow Engineering Date and Time Received: 12115120115:07:31 PM Project Name: #11 R-120;CaWater Stockton Checklist completed and reviewed by: Melissa Valles WorkOrder N°: 1112484 Matrix: Sgjj Carrier: Client Drop -In Chain Chain of custody present? of Custody Yes jOC► Information 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 ❑ Sampler's name noted on COC? Yes No ❑ Custody seals intact on shipping container/cooler? SAM& Yes R2celatinformiWon ❑ No ❑ NA ❑- Shipping container/cooler in good condition? Yes No ❑ Samples in proper containers/bottles? Yes 0 No ❑ Sample containers intact? Yes ® No ❑ Sufficient sample volume for indicated test? Yes No ❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes No ❑ Container/remp Blank temperature Cooler Temp: 6'C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted ❑� Sample labels checked for correct preservation? Yes ❑d No ❑ Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA Samples Received on Ice? Yes ❑d No ❑ (Ice Type: WET ICE ) * NOTE: If the "No" box is checked, see comments below. Comments: Page 4 of 21 '