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Mccampbell Analytical, Inc. 1534 Willow Pass Road. Pittsburg. CA 94565-1701 ` Web: w w.mccampbell.com E-mail: main@mccatripbell.com "WhenOualitvCounts" Telephone: 877-252-9262 Fax: 925-252-9269 Sample Receipt Checklist Client Name: Geo Restoration, Inc. Project Name: # 0837; Former Lodi Chrome WorkOrder N°: 0810269 Matrix Soil/Water Date and Time Received: 10/10/2008 8:06:45 PM Checklist completed and reviewed by: Kimberly Burks Carrier: Derik Cartan (MAI Courier) Chain of Custody (COC) Information Chain of custody present? Yes ] No ❑ Chain of custody signed when relinquished and received? Yes R1 No ❑ Chain of custody agrees with sample labels? Yes R1 No ❑ Sample IDs noted by Client on COC? Yes R1 No ❑ Date and Time of collection noted by Client on COC? Yes Samples Received on Ice? No ❑ Sampler's name noted on COC? Yes ❑ No ❑ Custody seals intact on shipping container/cooler? Shipping container/cooler in good condition? Samples in proper containers/bottles? Sample containers intact? Sufficient sample volume for indicated test? Sample Receipt Information Yes ❑ No ❑ Yes No ❑ Yes`❑ No ❑ Yes © No ❑ Yes ❑ No ❑ WM Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes J❑ No ❑ Container/Temp Blank temperature Cooler Temp: 5.6°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes R1 No ❑ No VOA vials submitted ❑ Sample labels checked for correct preservation? Yes R1 No ❑ TTLC Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA R1 Samples Received on Ice? Yes R1 No ❑ (Ice Type: WET ICE " NOTE: If the "No" box is checked, see comments below. — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Client contacted: Comments: Date contacted: Contacted by: