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1534 Willow Pass Road.Pittsburg,CA 94565-1701 <br /> �;•_ McCampbell Analytical, Inc. ToIlFrccTelephone:(x77)252-9262/Fax:(925)2529269 <br /> "When Quality Counts" http://www.mccinipbell.com/E-mail:main(Onecampbcll.com <br /> Sample Receipt Checklist <br /> Client Name: AdvancedGeo, Inc. Date and Time Received: 12/11/2020 13:25 <br /> Project: Montoya Property Date Logged: 12111!2020 <br /> Received by: Valerie Alfaro <br /> WorkOrder Ns: 2012635 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 n No <br /> Sample IDs noted by Client on COC? Yes l No I_! <br /> Date and Time of collection noted by Client on COC? Yes 11Z No U <br /> Sampler's name noted on COC? Yes W No I <br /> COC agrees with Quote? Yes ❑ No� NA V <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes L No NA <br /> Shipping container/cooler in good condition? Yes No <br /> Samples in proper containers/bottles? Yes IV No 11 <br /> Sample containers intact? Yes ❑✓ No I.J <br /> Sufficient sample volume for indicated test? Yes ❑d No _I <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes W No U NA <br /> Samples Received on Ice? Yes n No� I <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 2.1'C NA�J <br /> Water-VOA vials have zero headspace/no bubbles? Yes E%fl No U NA I_ <br /> Sample labels checked for correct preservation? Yes [ No 1 <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.214500NO3: Yes ❑ No El NA <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8::52;525.3:<_4; Yes ❑ No I_J NA L1 <br /> 530:57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.1mg/L)? Yes ❑ No I1 NA�v1 <br /> Comments: <br />