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0 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.mccampbell.com / E-mail: main@mccampbell.com <br /> <br />Sample Receipt Checklist <br />Client Name: Excelchem Environmental Labs <br />Project: 2207177; 2207177 <br />WorkOrder Na: 2207F34 Matrix: Soil <br />Carrier: Patrick Johnson (MAI Courier) <br />Date and Time Received: <br />Date Logged: <br />Received by: <br />Logged by: <br />7/26/2022 13:45 <br />7/26/2022 <br />Yvette Gallegos <br />Yvette Gallegos <br />Chain of Custody (COC Information <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 />Custody seals intact on sample bottles? <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 No El <br />Yes No E <br />Yes No El <br />Yes No El <br />Yes No El <br />Yes No Li <br />Yes No El <br />NA El <br />Sample Receipt Information <br />Yes No 0 <br />NA El <br />Yes No 0 <br />NA El <br />Yes No El <br />Yes No 0 <br />Yes No 0 <br />Yes No El <br />Sample Preservation and Hold Time (HT1 Information <br />NA D <br />NA LI <br />All samples received within holding time? <br />Samples Received on Ice? <br />(Ice Type: <br />Sample/Temp Blank temperature <br />Yes <br />Yes <br />WET ICE <br />Temp: <br />No El <br />No El <br />2.4°C <br />ZHS conditional analyses: VOA meets zero headspace <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Yes El No El NA [I <br />Sample labels checked for correct preservation? Yes El No E <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.214500NO3: Yes 0 No El NA <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.7: 52; 533: 6 - 8; Yes 0 No El NA El <br />537.1: 6 - 8)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L) Yes 0 No El NA II] <br />[not applicable to 200.71? <br />Comments: <br />Page 9 of 9