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1534Willow Pass Road, Pittsburg, CA94565-1701 <br />McCampbell Analytical, Inc. <br />Web: www.mccampbell com E-mail: main@mccmnpbell.com <br />"When Oualiw Counts" Telephone 877-252-9262 Fax 925-252-9269 <br />Sample Receipt Checklist <br />Client Name Philip Environmental Services <br />Receipt Information <br />Yes <br />Date and Time Received: 9/7/2007 3:20:20 PM <br />Project Name: LODI CHROME <br />Yes <br />© <br />Checklist completed and reviewed by Kimberly Buries <br />WorkOrder N': 0709126 Matrix Water <br />❑ <br />No <br />Carrier: Client Drop -In <br />Chain of Custody <br />(COG) Information <br />Chain of custody present? <br />Yes <br />© <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />© <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />© <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yes <br />© <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />© <br />No ❑ <br />Custody seals intact on shipping container/cooler? <br />Shipping container/cooler in good condition? <br />Samples in proper containers/bottles? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />Sample <br />Receipt Information <br />Yes <br />❑ <br />No ❑ <br />Yes <br />© <br />No ❑ <br />Yes <br />❑ <br />No <br />Yes <br />No ❑ <br />Yes <br />❑ <br />No <br />NA RI <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes 0 No ❑ <br />Container/Temp Blank temperature Cooler Temp: 22.2°C NA ❑ <br />Water - VOA vials have zero headspace / no bubbles? Yes ❑ No © No VOA vials submitted ❑ <br />Sample labels checked for correct preservation? Yes © No ❑ <br />TTLC Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No © NA ❑ <br />Client contacted: <br />Comments: <br />Date contacted: <br />Contacted by <br />