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McCampbell Analytical, Inc 1544 Willow Pass Road. Pittsburg, CA 94565-1701 Web: www.mccampbell.com E-mail: main@mccampbell.com "When Quality Counts" Telephone: 877-252-9262 Fax: 925-252-9269 Sample Receipt Checklist Client Name: Geo Restoration, Inc. Date and Time Received: 1/13/2009 4:32:55 PM Project Name: #0837; Lodi Chrome, 316 N.Main Street, Lodi, CA Checklist completed and reviewed by: Ana Venegas WorkOrder N°: 0901204 Matrix Soil Carrier: Derik Cartan (MAI Courier) Chain of Custody (COC) Information Chain of custody present? Yes R1 No ❑ Chain of custody signed when relinquished and received? Yes No ❑ No ❑ Chain of custody agrees with sample labels? Yes ❑ No ❑ Sample IDs noted by Client on COC? Yes © No ❑ Date and Time of collection noted by Client on COC? Yes ❑ 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 R1 No ❑ Yes 0 No ❑ Yes © No ❑ Yes 21 No ❑ NA Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes d❑ No ❑ Container/Temp Blank temperature Cooler Temp: 1.2°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ 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 d❑ No ❑ (Ice Type: Wt7ICE ) NOTE: If the "No" box is checked, see comments below. — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Client contacted: Comments: Date contacted: Contacted by: