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y 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" iiup://www.mccmnpboB.com / E-mad: mainQnecempbelLcom <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Dale and Time Received 51812018 09:20 <br /> Project: 18050351180321 Dale Logged: 518/2018 <br /> Received by: Agustin Venegas <br /> WorkOrder No: 1805451 Matrix: Soil Logged by: Agustina Venegas , <br /> Carrier: UP <br /> Chain of Custody (COC) Information <br /> Chain of custody present? Yes V No ❑ <br /> Chain of custody signed when relinquished and received? Yes No ❑ Q = <br /> Chain of custody agrees with sample labels? Yes No ❑ LU <br /> 1 J <br /> W <br /> Sample IDs noted by Client on COC? Yes No ElLU <br /> Dale and Time of collection noted by Client on COC? Yes © No ❑ N J LZ <br /> ~ 042 <br /> Sampler's name noted on COC? Yes ❑ No © UJ _ <br /> W <br /> COC agrees with Quote? Yes ❑ No ❑ NA i :�I, Q <br /> Z UJ <br /> Sample Receipt Information 0 Q <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NAJT Z <br /> Shipping container/cooler in good condition? Yes © No ❑ UJ <br /> Samples in proper containers/bottles? Yes © No ❑ <br /> Sample containers intact? Yes © No ❑ <br /> Sufficient sample volume for indicated lest? Yes No ❑ <br /> Sample Preservation and Hold Time (HT) Information <br /> All samples received within holding time? Yes No ❑ NA ❑ <br /> Samples Received on Ice? YesaI❑ No ❑ <br /> (Ice Type: BLUE ICE ) <br /> Sample/Temp Blank temperature Temp: 60C NA El <br /> Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NA <br /> RJ <br /> Sample labels checked for correct preservation? Yesa/Q No ❑ <br /> pit acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)? Yes ❑ No ❑ NA ❑1 <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt (200.8: s2; 525.3: s4; Yes ❑ 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 ka <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Comments: <br /> Page 17 of 17 <br />