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1534 Willow Pass Road,Pittsburg.CA 94565-1701 <br /> _ McCampbell Analytical, Inc. Tol Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> ' "When Quality Counts" http://www.mccampbell.com/E-mail:main(&mccampbell.com <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 Ns: 2106107 Matrix: Water Logged by: Agustina Venegas <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No ❑ <br /> Chain of custody signed when relinquished and received? Yes ❑d No ❑ <br /> Chain of custody agrees with sample labels? Yes 0 No ❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No ❑ <br /> Date and Time of collection noted by Client on COC? Yes No ❑ <br /> Sampler's name noted on COC? Yes No ❑ <br /> COC agrees with Quote? Yes ❑ No ❑ NA❑d <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA❑d <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 ❑ 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 ❑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 ❑vr No ❑ <br /> pH acceptable upon receipt(Metal:<2; Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA 0 <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;5253:54; Yes ❑ No ❑ NAW <br /> 530:57;541:<3;544: <6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA❑d <br /> - ---------------- <br /> Comments: <br /> Pa a. 1 1 of 1 I <br />