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1534'1'illo«Pass Road.Pittsburg.CA 94565-1701 <br /> Toll Free Telephone: 252-9269 <br /> McCampbell Analytical, Inc. <br /> rr hnp: sazsls.mccampbell.corn'E-mail:tnainCa mccatnpbell.corn <br /> rr <br /> When QualityCounts <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received: 7/31/2020 15:54 <br /> Project: NA207060;Shipherd Property Date Logged: 7/31/2020 <br /> Received by: Valerie Alfaro <br /> WorkOrder No: 2007F84 Matrix: Water Logged by: Valerie Alfaro <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑✓ No❑ <br /> Chain of custody agrees with sample labels? Yes d❑ No❑ <br /> Sample IDs noted by Client on COC? Yes d❑ No❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑d No❑ <br /> Sampler's name noted on COC? Yes W No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA❑d <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 0 <br /> Shipping container/cooler in good condition? Yes W No❑ <br /> Samples in proper containers/bottles? Yes d❑ No❑ <br /> Sample containers intact? Yes d❑ No❑ <br /> Sufficient sample volume for indicated test? Yes d❑ No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes l�/:] No❑ NA❑ <br /> Samples Received on Ice? Yes 11.11 No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 1.4°C NA El <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑d No❑ NA❑ <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> pH acceptable upon receipt(Metal:<2; Nitrate 353.2/4500NO3: Yes ❑ No❑ NAW <br /> <2;522: <4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3:54; Yes ❑ No❑ NAW <br /> 530:157;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA <br /> ------------ - - - ------ -------------------- ----- <br /> Comments: <br /> Page 10 of 10 <br />