Laserfiche WebLink
Sample Receipt Checklist <br />McCampbell Analytical, Inc.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"When Quality Counts" <br />Client Name:Clean Harbors <br />WorkOrder №:2502J06 <br />Date Logged:2/26/2025 <br />Logged by:Adrianna CardozaMatrix:Water <br />Carrier:Client Drop-In <br />Shipping container/cooler in good condition?Yes No <br />Custody seals intact on shipping container/cooler?Yes No NA <br />Samples Received on Ice?Yes No <br />Chain of custody present?Yes No <br />Chain of custody signed when relinquished and received?Yes No <br />Chain of custody agrees with sample labels?Yes 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 />NAAll samples received within holding time?Yes No <br />NASample/Temp Blank temperature <br />Yes No NAZHS conditional analyses: VOA meets zero headspace <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />pH acceptable upon receipt (Metal: <2)?Yes No NA <br />Temp:0.7°C <br />Chain of Custody (COC) Information <br />Yes NoSample IDs noted by Client on COC? <br />Yes NoDate and Time of collection noted by Client on COC? <br />Yes NoSampler's name noted on COC? <br />Sample Receipt Information <br />Sample Preservation and Hold Time (HT) Information <br />Sample labels checked for correct preservation?Yes No <br />Project:Turner Cut <br />(Ice Type:WET ICE ) <br />Comments: <br />pH tested and acceptable upon receipt (200.7: ≤2; 533: 6 - 8; <br />537.1: 6 - 8)? <br />Yes No NA <br />UCMR Samples: <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L) <br />[not applicable to 200.7]? <br />Yes No NA <br />Date and Time Received:2/26/2025 13:32 <br />Received by:Valerie Alfaro <br />COC agrees with Quote?Yes No NA <br />Custody seals intact on sample bottles?Yes No NA <br />pH Lot#:HC446507 <br />Lot Expiration:1/31/2028 <br />Page 34 of 34