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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" http://Avww.m"mpbeH.com / E-mail: mainQmccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Date and Time Received 1011912018 10:12 <br /> Project: 18100661180321 Date Logged: 1011912018 <br /> Received by: Jena Alfaro <br /> WorkOrder Ne: 1810980 Matrix: Sold Logged by: Jena Alfaro <br /> Carrier: UPS <br /> Chain of Custody (COCl Information <br /> Chain of custody present? Yes 91 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 0 No ❑ <br /> Sampler's name noted on COC? Yes No ❑ <br /> COC agrees with Quote? Yes ❑ No ❑ NA ❑� <br /> Sample Receipt Information <br /> Custody seals Intact on shipping container/cooler? Yes ❑ No ❑ NA <br /> Shipping container/cooler in good condition? Yes [vfl No ❑ <br /> Samples in proper containers/bottles? Yes 0 No ❑ <br /> Sample containers intact? Yes © No ❑ <br /> Sufficient sample volume for indicated test? Yes ❑ No ❑ <br /> Sample Preservation and Hold Time INTI Information <br /> All samples received within holding time? Yes 91 No ❑ NA ❑ <br /> Samples Received on Ice? Yes ❑ No R] <br /> Sample/Temp Blank temperature Temp: NAW <br /> Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ NA ❑ <br /> Sample labels checked for correct preservation? Yes Q No ❑ <br /> pH acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)? Yes El No El NA <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt (200.8: 52; 525.3: 154; Yes ❑ No ❑ NA <br /> 530: <_7; 541 : <3; 544: <6.5 & 7.5)? <br /> Free Chlorine tested and acceptable upon receipt (<0. 1 mg/L)? Yes ❑ No ❑ NA ❑a1 <br /> 6-r't <br /> - - - - - - - - - - - - - - - - - - - - - - - - <br /> Comments: Vit) l 1 9) <br /> FNN1IRdNMC�NTAL HEALTH <br /> pEPAR� MENT <br /> Page 18 of 18 <br />