Laserfiche WebLink
1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c C a m b e I l Analytical, Inc. roll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.inecainpbell.com/E-mail:mmainccarnpbell.com <br /> Sample Receipt Checklist <br /> Client Name: Ponder Environmental Services Date and Time Received 6/17/2019 11:53 <br /> Project: 19-8007 Stockton Prover Date Logged: 6/17/2019 <br /> Received by: Agustina'Venegas <br /> WorkOrder N9: 1906809 Matrix: Water Logged by: Agustina Venegas <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes No❑ <br /> Chain of custody signed when relinquished and received? Yes No❑ <br /> Chain of custody agrees with sample labels? Yes 0 No❑ <br /> Sample IDs noted by Client on COC? Yes ❑d 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 0 <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA❑d <br /> Shipping container/cooler in good condition? Yes ❑d No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes No❑ <br /> Sufficient sample volume for indicated test? Yes IV] No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes No❑ NA❑ <br /> Samples Received on Ice? Yes ❑d No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 20.3°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑d No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ No❑ NA 1--/1 <br /> <2;522:<4;218.7:>8)? <br /> LICMR Samples: <br /> pH tested and acceptable upon receipt(200.8:s2;525.3:54; Yes ❑ No❑ NA V <br /> 530::57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA W <br /> ---------------------------------------------- <br /> Comments: <br /> Page 11 of 11 <br />