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ADVANCED$6 TECHNOLOGY L A 8 Q P,,A r o R I E S Sample Receipt Acknowledgement Work Order # 2101347 CIient; Department of Toxic Substances Control Project Manager: Arianna Campuzano Project: 20AT0105 Project Number: 20AT0105 Report To: Invoice To: Department of Toxic Substances Control -ECL Department of Toxic Substances Control -ECL Trevor Anderson Chief, Contract Administration and Purchasing 700 Heinz Street, Suite 150 P.O. Box 806 Berkeley, CA 94710 Sacramento, CA 95812-0806 Phone: (916) 255-3634 Phone :916 324 3751 Fax: (510) 540-2305 Fax: (510) 540-2305 Date Due: 06/17/21 17:00 (7 day TAT) Date Received: 06/08/2109:16 Received By: Justine Morales-Calimlim Date Logged In: 06/14/21 16:55 Logged In By: Justin Nunez Shipped by: FEDEX Please review the checklist below. All samples which require thermal preservation are considered acceptable if the temperature upon arrival is within f 2 °C of the required temperature or method specified range. For samples with a specified temperature of 4 °C, samples with a temperature ranging fromjust above freezing temperature of water to 6 °C shall be acceptable. Samples that are hand -delivered immediately following collection may not meet these criteria; however, they will be deemed acceptable per NELAC standards if there is evidence that the chilling process has begun, such as arrival on ice. Any non-compliance will be noted and must be understood as having an impact on the quality of the data. All tests will be performed as requested regardless of any compliance issues. If you have any questions or further instructions, please contact your Project Manager at (562) 989-4045. Sample(s) received on ice? Yes ❑ No Q Default Cooler Temp. 4.9 °C Sample(s) received on blue ice? Yes Q No ❑ Cooler temperature within acceptance limit? Yes Q No ❑ Shipping container received in good condition? Yes Q No El Custody seals present on shipping container? Yes Q No ❑ Custody seals intact on shipping container? Yes Q No ❑ Custody seals present on sample bottles? Yes Q No ❑ Custody seals intact on sample bottles? Yes Q No ❑ Chain of Custody (COC) present? Yes Q No ❑ Sampler name present in COC? Yes ❑ No Q COC signed when relinquished and received? Yes Q No ❑ COC agrees with sample labels? Yes Q No ❑ Samples in proper container/bottle? Yes Q No ❑ Sample containers intact? Yes Q No ❑ Sufficient sample amount for indicated tests? Yes Q No ❑ All samples received within holding time? Yes Q No ❑ Water for VOC -- Were VOA vials submitted? Yes ❑ No Q Water samples submitted? Yes ❑ No Q VOA vials for VOC meet headspace criteria (<6mm)? Not Applicable Water samples meet preservation criteria? Not Applicable Sample Receipt Comments: Printed: 6/14/2021 5:03:19PM Form Version: 10.1 Issued: 03/18/2020 12:16 PM Pagx ofl3 f 1