Laserfiche WebLink
McCampbell Analytical, Inc. <br />"When Quality Counts" <br />1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />http://www.inceampbell.com 1 E-mail: maiMronceampbell.com <br /> <br />Sample Receipt Checklist <br />Client Name: Terracon <br />Project: NA177056; Buddhist Temple <br />WorkOrder Na: 1905588 Matrix: Water <br />Carrier: Patrick Johnson (MAI Courier) <br />Date and Time Received <br />Date Logged: <br />Received by: <br />Logged by: <br />5/10/2019 14:04 <br />5/10/2019 <br />Kena Ponce <br />Kena Ponce <br />Chain of Custody (COC) Information <br />No E <br />No E <br />No El <br />No El <br />No El <br />No E <br />No El <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Sample IDs noted by Client on COC? <br />Date and Time of collection noted by Client on COC? <br />Sampler's name noted on COC? <br />COC agrees with Quote? <br />Custody seals intact on shipping container/cooler? <br />Shipping container/cooler in good condition? <br />Samples in proper containers/bottles? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes El <br />Yes <br />Yes fJ <br />Yes <br />Yes <br />No El <br />No El <br />No El <br />No E <br />No E <br />NA E <br />NA E <br />Sample Receipt Information <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? <br />Yes EI <br />No El <br /> <br />NA 0 <br />Samples Received on Ice? <br />Yes EI <br />No E <br />(Ice Type: WET ICE <br />Temp: NA 111 <br />NA El <br />NA Ei <br />NA E <br />NA E <br />Sample/Temp Blank temperature <br />Water - VOA vials have zero headspace / no bubbles? <br />Sample labels checked for correct preservation? <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.8: 52; 525.3: 54; <br />530: 57; 541: <3; 544: <6.5 & 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)? <br />4.4°C <br />Yes No El <br />Yes NolEl <br />Yes CI No E <br />Yes E No El <br />Yes CI No El <br />Comments: