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McCampbell Analytical, Inc. I5+4 Willow Pass Road, Pittsburg, C4 94565-1701 'IwlWeb: www.mccampbell.com E-mail: train a ccampbell.com "When Oualin Counts"— __ r Telephone: 877-252-9262 Fax: 925-252-9269 Sample Receipt Checklist Client Name: Geo Restoration, Inc. Date and Time Received: 12/3/08 7:16:58 PM Project Name: #0837; Former Lodi Chrome Checklist completed and reviewed by: Samantha Arbuckle WorkOrder N 0812113 Matrix Soil Carrier: Derik Cartan (MAI Courier) Chain of Custodv (COC) Information Chain of custody present? Yes © No ❑ Chain of custody signed when relinquished and received? Yes V❑ No ❑ Chain of custody agrees with sample labels? Yes No ❑ No ❑ Sample IDs noted by Client on COC? Yes Yes No ❑ Date and Time of collection noted by Client on COC? Yes 0 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 R3 No ❑ NA N❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes d❑ No ❑ Container/Temp Blank temperature Cooler Temp: 5.1'C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted R1 Sample labels checked for correct preservation? Yes d❑ No ❑ TTLC Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA N❑ 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: