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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> _ McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccainpbell.com/E-mail:mainanccampbell.cotn <br /> Sample Receipt Checklist <br /> Client Name: AdvancedGeo, Inc. Date and Time Received: 6/30/2021 14:30 <br /> Project: Telander Property Date Logged: 6/30/2021 <br /> Received by: Agustina Venegas <br /> WorkOrder Ne: 2106107 Matrix: Water Logged by: Agustina Venegas <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody(COCl Information <br /> Chain of custody present? Yes V No❑ <br /> Chain of custody signed when relinquished and received? Yes 0 No❑ <br /> Chain of custody agrees with sample labels? Yes P1 No❑ <br /> Sample IDs noted by Client on COC? Yes 0 No❑ <br /> Date and Time of collection noted by Client on COC? Yes PI No❑ <br /> Sampler's name noted on COC? Yes PI No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NAW <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 0 <br /> Custody seals intact on sample bottles? Yes ❑ No❑ NA W <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes W No❑ <br /> Sample containers intact? Yes W No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Sample Preservation and Hold Time(HI)Information <br /> All samples received within holding time? Yes ❑d No❑ NA❑ <br /> Samples Received on Ice? Yes ❑d No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 4°C NA❑ <br /> ZHS conditional analyses:VOA meets zero headspace Yes ❑ 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❑� <br /> <2;522:<4;218.7:>8)? <br /> UCMR Sammi <br /> pH tested and acceptable upon receipt(200.8::52;525.3:154; Yes ❑ No❑ NA 0 <br /> 530:157;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.lmg/L)? Yes ❑ No❑ NA 0 <br /> ---------------------------------------------- <br /> Comments: <br /> Page 11 of 11 <br />