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1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br /> ®� McCampbell Analytical , Inc . Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br /> "When Quality Counts" I http:lhvww.mecampbell.com / &rnad: main@mceampbe9.com <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Dale and Time Received 51812018 09:20 <br /> Project: 18050351180321 Date Logged: 51812018 <br /> Received by: Agustina Venegas <br /> WorkOrder No: 1805451 Matrix: Sell Logged by: Aguslina Venegas <br /> Carrier: UP <br /> Chain of Custody (CDC) 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 ❑ No ❑ <br /> Sample IDs noted by Client on COC? Yes 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 <br /> Sample Recelot Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA ka <br /> Shipping container/cooler in good condition? Yes © No ❑ <br /> Samples In proper containers/bottles? Yes © No ❑ <br /> Sample containers intact? Yes No ❑ <br /> Sufficient sample volume for indicated test? Yes 0 No ❑ <br /> Samole Preservation and Hold Time IHTI Information <br /> All samples received within holding time? Yes No ❑ NA ❑ <br /> Samples Received on Ice? Yes No ❑ <br /> (Ice Type: BLUE ICE ) <br /> Sample/Temp Blank temperature Temp: 6'C NA ❑ <br /> Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NA W <br /> Sample labels checked for correct preservation? Yes ❑✓ No ❑ <br /> pH acceptable upon receipt (Metal: 42; 522: <4; 218.7: >8)? Yes ❑ No ❑ NAW <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt (200.8: <_2; 525.3: <<-4; Yes El No ❑ NA <br /> 530: 57; 541 : <3; 544: <6.5 & 7.5)? <br /> Free Chlorine tested and acceptable upon receipt (<0.1 mg/L)? Yes ❑ No ❑ NA <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Comments: <br /> Page 17 of 17 <br />