Laserfiche WebLink
a <br /> a - i <br /> .L.A. kl <br /> ASSOCIA `ED.,;GAROBA.T TORIES <br /> 806 North Batavia-Orange, California 92868- 714-771-6900 FAX 714-538-1209 <br /> i <br /> SAMPLE ACCEPTANCE CHECKLIST, <br /> section l <br /> Client:Al l -6-ase— _' Project: <br /> Date Received: "7/14K!l 0an1plcr'4 N€me: Yes <br /> Sample(s) received in cooler: Yes (Skip Section 2) <br /> Slli in- In ormatiow <br /> Section 2 <br /> Was the cooler packed with: Ice Ice Pheks _.Bubble Wrap Styrofoam <br /> Paper Mane Other_ <br /> Cooler or box temperature: <br /> (Acceptance range is 2 to b Deg. C.) <br /> S:ecti6n 3 YES NQ _ / .. <br /> Was a COC received? E <br /> Is it property completed? IDs, sam lin date and tin4e,si afore,test <br /> ... <br /> Were costo- . seals resent? ✓ <br /> If Yes--were.the intact? <br /> Were all sam les sealed in pWtie ba ! ° <br /> Did all sam les arrive intact?If no, indicate,below. i. v <br /> Did all bottleJabels x ree with COC( l),dates and#tn • <br /> Were correct containers used for the tests required? <br /> Was a sufficient amount of sam le sent far tests indtbated <br /> Was there heads ace in VOA vials? a <br /> sere tl'� .cc�ntainers.lal�eledfitl7 ccjtYct, rc�ser�=atvs`? <br /> Was total residual chlorine measured(Fish,Bioassa san. :Ies onl <br /> *:If the.answer is no,please inform Fish Bioassay,.Qopt-iiinr6ediafely. <br /> Section 4 <br /> ,,Ex lanations/Comments <br /> 4, <br /> , <br /> Section 5 <br /> i <br /> Was Project Manager notified of discrepancies: Y N N/A_ <br /> Completed By: X11tex <br /> - - <br /> Sft.. <br /> i- <br />