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LTorrent <br />LAtioAArcany INC <br />Sample Receipt Checklist <br />Client Name: Engeo (San Ramon) <br />Date and Time Received: 11/26/2018 10:24:00AM <br />Project Name: Mountain House Neighborhood A. Units 3 and 4 <br />Received By: Navin Ghodasara <br />Work Order No.: 1811156 <br />Physically Logged By: Navin Ghodasara <br />Checklist Completed By: Navin Ghodasara <br />Carrier Name: Client Drop Off <br />Chain of Custody (COC) Information <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Custody seals intact on sample bottles? <br />Yes <br />Yes <br />Yes <br />Not Present <br /> <br />Sample Receipt Information <br />Custody seals intact on shipping container/cooler? Not Present <br />Shipping Container/Cooler In Good Condition? Yes <br />Samples in proper container/bottle? Yes <br />Samples containers intact? Yes <br />Sufficient sample volume for indicated test? Yes <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes <br />Container/Temp Blank temperature in compliance? Temperature: °C <br />Water-VOA vials have zero headspace? No VOA vials submitted <br />Water-pH acceptable upon receipt? N/A <br />pH Checked by: na pH Adjusted by: na <br />Comments: <br />Aisr samples in Summa canisters received at ambient temperature. <br />483 Sinclair Frontage Rd., Milpitas. CA 98035 I tol: 408.263.5258 408.263.6293 I viervvv.torrentlab.corn <br />Total Page Count: 45 Page 43 of 45