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Analytical, <br /> � } 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M C C a m g b e i l A n a l Y I i C a l, I n c• Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: AEI Consultants Date and Time Received: 3/26/2012 6:13:10 PM <br /> Project Name: #305662;OH&S Checklist completed and reviewed by: Melissa Valles <br /> WorkOrder N°: 1203872 Matrix: Soil/Water Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑d No❑ <br /> Chain of custody agrees with sample labels? Yes ❑d No❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑d No❑ <br /> Sampler's name noted on COC? Yes ❑d No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA ❑J <br /> Shipping container/cooler in good condition? Yes ❑d No❑ <br /> Samples in proper containers/bottles? Yes ❑d No❑ <br /> Sample containers intact? Yes ❑d No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑d No❑ <br /> Container/Temp Blank temperature Cooler Temp: 11.2°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑d No❑ No VOA vials submitted ❑ <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA❑d <br /> Samples Received on Ice? Yes ❑d No❑ <br /> (Ice Type: WET ICE ) <br /> *NOTE:If the "No"box is checked, see comments below. <br /> --------------------------------------------- <br /> Comments: <br /> Page 6 of 19 <br />