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Inc. IS34 Wilfuw Prix Rand,Pdta"&CA 94565-1101 <br /> ~ _ McCampbell Analytical, I Ta1lPrreTetigafione:(8771252.92621Fuji;025)M-92b9 <br /> t. <br /> When Quality Counts" lrnplAvo-w.mc mVbcILc ml E_rmif:rmW4Mn mmpboV1-com <br /> Sample Receipt Checklist <br /> Client Name Tenacon Date and Time Received, 1f11212019 12:07 <br /> Project NA197078;WHITLOW PROPERTY Date Logged 101212019 <br /> Received by. Tina Perez <br /> WorkOrder NQ: 1910073 Matrix: Water Logged by: Tina Perez <br /> Carrier Chris Breeze fconlracicuurier] <br /> gholn of Custody[COC1 Informatlon <br /> Chain of custody present? Yes V, No L <br /> Chain of cuslody signed when relinquished and received? Yes lto� No n <br /> Chain of custody agrees with sample labels? Yes No L7 <br /> Sample IDs noted by Client on CCC? Yes No❑ <br /> Date and Time of collection noted by Client on CDC? Yes ® No <br /> Sampler's name noted on COC? Yes No❑ <br /> CdC agrees with Ou4te7 Yes ND❑ NA if! <br /> itraMpIC Racglat nfgLmafL <br /> Custody seats intact on shipping containericaole0 Yes No❑ NA <br /> Shipping conlainerlcooler in good condition? Yes V] No❑ <br /> Samples in proper conWnerslbottles? Yes No❑ <br /> Sample containers Intact? Yes No❑ <br /> Sufficient sample volume for indicated test? Yes No❑ <br /> Sample Preservation and Hold Time iHr1 Information <br /> All samples received volhin holding time? Yes V, No s—J NA❑ <br /> Samples Received on Ice? Yes r No❑ <br /> (Ice Type WET ICE ) <br /> Samplai7emp Blank temperalufe Temp: 1.31C NAM <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes NO NA❑ <br /> Sample labels checked for cormcl preservation? Yes V Na <br /> pH acceptable upon receipt(Metal.<2;Nitrate 353.2 450ONO3: Yes No NA® <br /> <2.522:";218.7;'S)? <br /> UCDR saU]p1e.5: <br /> pH tested and acceptable upon receipt(200.9:32:525.3:sit: Yes No KAIA <br /> 530:57;541:<3;544:r6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1mgil-)? Yes No . NA LA <br /> Comments <br /> Page 10 of 10 <br />