COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

' McCampbell Analytical., Inc. 1534 Willow Pass Road, Pittsburg, CA 94565-1701 !I yy Web: www.mccampbell.com E-mail: main@,mccampbell.com "When Oualitv Counts" Tele hone: 877-252-9262 Fax: 925-252-9269 Sample Receipt Checklist Client Name: Geo Restoration, Inc. Yes ❑ No ❑ Date and Time Received: 3/2/2009 4:58:21 PM Project Name: #0837; Lodi Chrome, 316 N.Main Street Yes R1 No ❑ Checklist completed and reviewed by: Ana Venegas WorkOrder N°: 0903016 Matrix Soil Yes d❑ No ❑ Carrier: Derik Cartan (MAI Courier) Chain of Custody (COC) Information Chain of custody present? Yes N❑ No ❑ Chain of custody signed when relinquished and received? Yes d❑ No ❑ Chain of custody agrees with sample labels? Yes d❑ No ❑ Sample IDs noted by Client on COC? Yes 0 No ❑ Date and Time of collection noted by Client on COC? Yes R1 No ❑ Sampler's name noted on COC? Yes R] 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 21 No ❑ Yes R1 No ❑ Yes © No ❑ Yes d❑ No ❑ NA N❑ Sample Preservation and Hold Time (HT) Information All samples received within holding time? Yes R3 No ❑ ContainerfTemp Blank temperature Cooler Temp: 5°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted `❑ Sample labels checked for correct preservation? Yes 0 No ❑ TTLC Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA R] Samples Received on Ice? Yes R] No ❑ (Ice Type: WET ICE " NOTE: If the "No" box is checked, see comments below. Client contacted: Comments: Date contacted: Contacted by: