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p / A I 1531 Willow Piss Road,Pufsbuig,CA 94565-1701 MCCam bell AnaN ticaG Inc. 7'ollFree Telephone;(877)252-92621 Fax:(925)252-9269 Zh«p:llhvw)v.mccampbeml ll,coE-mail:main@..niccampbcll.com "When Quality Counts' Sample Receipt Checklist Client Name: Castle Analytical Laboratory Date and Time Received: 9/13/2019 09:54 Project: 1909046!Premier Finishing Date Logged: 9/1312019 Received by: Tina Perez WorkOrder Ns: 1909595 Matrix: Solid Logged by: Tina Perez Carrier: UPS Chain of Custody((COC)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 ® No❑ Sample IDs noted by Client on COC? Yes ® No❑ Date and Time of collection noted by Client on COC? Yes W No❑ Sampler's name noted on COC? Yes ❑ No COC agrees with Quote? Yes ❑ No❑ NAR Sample Receipt Information Custody seats intact on shipping container/cooler? Yes W No❑ NA❑ Shipping container/cooler in good condition? Yes No❑ Samples in proper containerslbottles? Yes 0 No❑ Sample containers intact? Yes No ❑ Sufficient sample volume for indicated test? Yes No❑ Sam le Preservation and Hatd Time H7 Information All samples received within holding time? Yes No❑ NA❑ Samples Received on Ice? Yes ❑ No W Sample/Temp Blank temperature Temp: NA❑✓ Water-VOA vials have zero headspace 1 no bubbles? Yes ❑ No❑ NA❑� Sample labels checked for correct preservation? Yes ❑Q No❑ pH acceptable upon receipt(Metal:<2;Nitrate 353.21450ONO3: Yes ❑ No❑ NA 10 <2;522:<4;218.7:>8)? UCMR Samples: pH tested and acceptable upon receipt(200.8::52;525.3:54; Yes ❑ No ❑ NA 0 530:<_7;541:<3;544:<6.5&7.5)? Free Chlorine tested and acceptable upon receipt(<0.1mglL)? Yes ❑ No❑ NA 9 --------------------------------------------- Comments: Page 10 of 10