Laserfiche WebLink
0 Moore Twining Associates, Inc. 4 <br />/ <br />Sample Integrity Page 7 j W0,4036 / Date Received: / <br />Section I -Sampled Same Day <br />Sample Transport: Walk I4�0;1 <br />Transported In: Ice Chesf Box Hand <br />Has Chilling Begun? <br />Section 2 -Sampled Previously <br />Sample Transport: Walk-in UPS GSO Fed Ex MTA Courier Other: <br />No. Coolers/Ice Chests: Temperature(s): <br />Was Temperate Blue <br />Describe type of packing materials: Bubble Wrap Foam Packinc Peanuts Pager Other: <br />Were ice chest custody seals present? Y or N Intact? Y or N <br />Section 3 -COC Info. <br />Yes No N/A Comment <br />Did all bottles arrive unbroken and intact? <br />Com leted <br />Yes No <br />Were bottle custody seals resent? <br />Completed <br />Yes No <br />Were bottle custody seals intact? r <br />Was COC Received <br />jAnal sis Re uested <br />Were correct containers used for the tests requested? <br />Date Sampled <br />/ Any hold times less than 72hr <br />Were bubbles resent in VOA Vials? Volatiles Methods Only) <br />Time Sampled <br />Client Name <br />Sample ID <br />Address <br />L-ISpecial <br />Storage/Handling Ins, <br />Telephone # <br />Section -Bottles/Analysis <br />Yes No N/A Comment <br />Did all bottles arrive unbroken and intact? <br />Were bottle custody seals resent? <br />Were bottle custody seals intact? r <br />Did all bottle labels agree with COC? <br />Were correct containers used for the tests requested? <br />Was sufficient amount of sample sent for tests indicated? <br />Were bubbles resent in VOA Vials? Volatiles Methods Only) <br />Were Ascorbic Acid Bottles Received with VOAs? <br />Section 5-Comment/Discrepancies <br />Sample(s) Split/Preserve; o Co'tainer: Preservation: Initials: <br />Filtered: Yes o omainer: Preservation: Initials: <br />Was Client Servi pe r no ' Jed of discrepancies: Yes or No N/A Notified by: <br />Explanations/Comments: <br />Labeled by: Checked by: 6== <br />FL- <br />