Laserfiche WebLink
Sani,pReceivhig ChedielAst <br /> Date received: 16 i i /0I Time: 0 <br /> Lab Batch IDK : ( (,2 i ._aQ Client: arN i rziY) er) <br /> Status <br /> Answer Yes No NIA Comments <br /> hein of Custody Present El F-1 <br /> I,�mb=_r of Ice ches!slpackaces 1 <br /> lam?les re;eived on Ice ® Q <br /> ype of Ice (BlueMet) MM F <br /> emperature (>O to 6 Deg. C) OEM <br /> lode of measurement <br /> Irl,7enp.blank, Otner) <br /> Samples intact? ® Q <br /> _eaking bottles? <br /> Custody seals intact? ® L__! <br /> COC properly completed? LZI F-1 El <br /> Verification of bottle labels to match CDC ® D <br /> Preservation verification (pH paper, etc.) MUM Q <br /> Preserved at the lab? MM ® ® @ U� <br /> Sample Volume sufficient? <br /> Enough holding time for all tests? <br /> Notify analysts of short holding time/rush <br /> Subontract analysis? <br /> Discrepancies and Notifications <br /> Description of problem: _ <br /> I <br /> Person Notified: Phone m: Date/time: <br /> Instructions from client/resolution: _ I <br /> c_ <br /> Description of problem: <br /> Person Notified: Phone#: Dateltime: ' <br /> InsVuc!ions from clienJresc(ution: <br /> II <br /> iL <br /> -;ample receipt verification completed by (initials): <br /> (aabstuMOClvalidation tableslsample_receiving check_list.xls <br />