FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

1534 Wdlaw Piss Road,Pi%11 CA 94565-1701 ® MCCCIYI'lgb@ll AnQlVtjCG1• Inti• To11 Free Telephone:(877)252-9262/Fax:(925)252-9269 http:// .mccampbe6.com/E-mail:main nanccampbeI C= "When Quality Counts" Sample Receipt Checklist Date and Time Received 311612017 15:34 Client Name: GEOCON Env.Consultants Date Logged: 311712017 Project Name: E8857-02-02;Manteca Firing Range Received by: Jena Alfam Logged by: Maria Venegas WorkOrder No: 1703873 Matrix: M Carrier: Client Drop-In Chain of C istodv(COCl 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 0 No❑ Sample IDs noted by Client on COC? Yes No❑ Date and Time of collection noted by Client on COG? Yes No❑ Sampler's name noted on COC? Yes No❑ Sample Receipt Information Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA Shipping container/cooler in good condition? Yes © No❑ Samples in proper containers/bottles? Yes No❑ Sample containers intact? Yes 0 No❑ Sufficient sample volume for indicated test? Yes © No❑ Sample Preservation and Hold Time(HT1 Information Yes � No El NA❑ All samples received within holding time? NA❑ Temp: 3.7°C Sample/Temp Blank temperature NA Water-VOA vials have zero headspace/no bubbles? Yes ❑ No El Sample labels checked for correct preservation? Yes © No❑ PH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ❑ No❑ NA Samples Received on Ice? Yes No❑ (IceType: WET ICE ) UCMR3 Samples: NA W Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ElNo❑ Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NAW 300.1,537,539? --------------------------- Comments: Page 44 of 44