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F]Torrent <br /> I A." )-iA 1011". I,.C, <br /> Sample Receipt Checklist <br /> Client Name: Engeo(San Ramon) Date and Time Received: 2/22/2021 4:45:OOPM <br /> Project Name: Mountain House Creek Received By: Helena Ueng <br /> Work Order No.: 2102168 Physically Logged By: Helena Ueng <br /> Checklist Completed By: Helena Ueng <br /> Carrier Name: First Courier <br /> Chain of Custody(COC) Information <br /> Chain of custody present? Yes <br /> Chain of custody signed when relinquished and received? Yes <br /> Chain of custody agrees with sample labels? Yes <br /> Custody seals intact on sample bottles? Not Present <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? Yes Temperature: 2.0 °C <br /> Water-VOA vials have zero headspace? No VOA vials submitted <br /> Water-pH acceptable upon receipt? N/A <br /> pH Checked by: N/A pH Adjusted by: N/A <br /> Comments: <br /> 483 Sinclair V—ntags Rd_, Nlilpkta- CA 95035 Frf:408.263.5258 I F.-�x:408.263.8293 I ti`/y'✓y'✓-to rr0nt3ab_Com <br /> Total Page Count: 35 Page 30 of 35 <br />