Laserfiche WebLink
C a m p e ll A n a I+ C a 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> L n C. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccaiupbell.com/E-mail:main@mccampbellcom <br /> Sample Receipt Checklist <br /> Client Name: Trans Tech Consultants Date and Time Received: 10/9/2025 14:00 <br /> Project: 3439.01; LLNL B882-Disp Date Logged: 10/9/2025 <br /> Received by: Agustina Venegas <br /> WorkOrder W: 2510770 Matrix: Soil Logged by: Valerie Alfaro <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑d No❑ <br /> Chain of custody agrees with sample labels? Yes No❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes ❑.I No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA❑� <br /> COC quote NOT expired? Yes ❑ No❑ NA❑d <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA❑d <br /> Custody seals intact on sample bottles? Yes ❑ No❑ NA❑d <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes ❑d No❑ <br /> Sample containers intact? Yes ❑d No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑d No ❑ NA ❑ <br /> Samples Received on Ice? Yes ❑d No ❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 6°C NA ❑ <br /> ZHS conditional analyses:VOA meets zero headspace Yes ❑ No ❑ NA ❑d <br /> requirement(VOCs,TPHg/BTEX, RSK)? <br /> Sample labels checked for correct preservation? Yes n No ❑ <br /> pH acceptable upon receipt(Metal: <2)? Yes ❑ No ❑ NA ❑d <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.7:52;533:6-8; Yes ❑ No❑ NA ❑d <br /> 537.1:6-8)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L) Yes ❑ No ❑ NA ❑d <br /> [not applicable to 200.7]? <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 17 of 17 <br />