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STL <br /> TL San Francisco <br /> Sample Receipt Checklist <br /> mission # 2004-_ �p - e�6 <br /> Checklist completed by (initials)la—Date _�1 s25�'104 <br /> tourer name ❑ STL San Francisco ❑ Client A PC <br /> Not � <br /> Custody seals intact on shipping container/samples Yes No Present <br /> thain of custody present? Yes V" No <br /> Chain of custody signed when relinquished and received? Yes ✓ No <br /> Chain of custody agrees with sample labels? Yes /11�No <br /> Samples in proper container/bottle? Yes No <br /> !Sample containers intact? Yes - No <br /> Sufficient sample volume for indicated test? Yes o <br /> All samples received within holding time? Yes / No <br /> Container/Temp Blank temperature in compliance (40 C t 2)? Temp °C Yes No <br /> 1 Ice Present Yes N <br /> W ter-VOA vials have zero headspace? No VOA vials submitted Yes No <br /> (if bubble is present, refer to approximate bubble size and itemize in comments as S (small-O), M (medium- Q) or L (large - 0) <br /> Later-pH acceptable upon receipt? ❑ Yes ❑ No <br />( pH adjusted- Preservative used El HNO3 ❑ HCI ❑ H2SO4 ❑ NaOH ElZnOAC-Lot#(s) <br /> or any item check-listed "No", provided detail of discrepancy in comment section below <br /> omments R 6 �-rmjE <br /> Project Management [Routing for instruction of indicated dlscrepancy(ies)] <br /> 1Project Manager (initials) Date 1 104 <br /> Client contacted ❑ Yes ❑ No <br /> Summary of discussion ' <br />.Wective Action (per PM/Client) <br />