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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M C C a m p b e I l Analytical, I n C. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> t "Wlren Quality Counts" http://mvw.inccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: NuStar Energy, LP(Stockton) Date and Time Received: 3/29/2021 11:30 <br /> Project: 21-5012 Horizontal UST Date Logged: 3/29/2021 <br /> Received by: Adrianna Cardoza <br /> WorkOrder Ns: 2103G66 Matrix: Sludge/Water Logged by: Adrianna Cardoza <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes V No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑4 No❑ <br /> Chain of custody agrees with sample labels? Yes ❑d No❑ <br /> Sample IDs noted by Client on COC? Yes No ❑ <br /> Date and Time of collection noted by Client on COC? Yes 0 No ❑ <br /> Sampler's name noted on COC? Yes No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NAd❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA❑d <br /> Custody seals intact on sample bottles? Yes 0 No ❑ NA❑ <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes ❑./ No❑ <br /> Sufficient sample volume for indicated test? Yes No ❑ <br /> Sample Preservation and Hold Time(HT) Information <br /> All samples received within holding time? Yes No❑ NA❑ <br /> Samples Received on Ice? Yes No ❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 5.2°C NA❑ <br /> ZHS conditional analyses:VOA meets zero headspace Yes 0 No ❑ NA❑ <br /> requirement(VOCs,TPHg/BTEX, RSK)? <br /> Sample labels checked for correct preservation? Yes No ❑ <br /> pH acceptable upon receipt(Metal:<2; Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA❑d <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 ❑ NA VI <br /> 530:57;541: <3;544: <6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.1mg/L)? Yes ❑ No ❑ NA W <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br />