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Sample Receipt Checklist McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701 Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 http://www.mccampbell.com / E-mail: main@mccampbell.com"When Quality Counts" Client Name:Petralogix WorkOrder №:2109270 Date Logged:9/7/2021 Logged by:Agustina VenegasMatrix:Water Carrier:Client Drop-In Shipping container/cooler in good condition?Yes No Custody seals intact on shipping container/cooler?Yes No NA Samples Received on Ice?Yes No Chain of custody present?Yes No Chain of custody signed when relinquished and received?Yes No Chain of custody agrees with sample labels?Yes No Samples in proper containers/bottles?Yes No Sample containers intact?Yes No Sufficient sample volume for indicated test?Yes No NAAll samples received within holding time?Yes No NASample/Temp Blank temperature Yes No NAZHS conditional analyses: VOA meets zero headspace requirement (VOCs, TPHg/BTEX, RSK)? pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: <2; 522: <4; 218.7: >8)? Yes No NA Temp:0.7°C Chain of Custody (COC) Information Yes NoSample IDs noted by Client on COC? Yes NoDate and Time of collection noted by Client on COC? Yes NoSampler's name noted on COC? Sample Receipt Information Sample Preservation and Hold Time (HT) Information Sample labels checked for correct preservation?Yes No Project:SSS/NLS-S Koster Road (Ice Type:WET ICE ) Comments: One or more containers have headspace issue. Please check WOsummary for more information.. pH tested and acceptable upon receipt (200.8: ≤2; 525.3: ≤4; 530: ≤7; 541: <3; 544: <6.5 & 7.5)? Yes No NA UCMR Samples: Free Chlorine tested and acceptable upon receipt (<0.1mg/L)?Yes No NA Date and Time Received:9/7/2021 13:12 Received by:Tina Perez COC agrees with Quote?Yes No NA Custody seals intact on sample bottles?Yes No NA Page 11 of 11