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From:Chroma-Fax To:Steve SNh Date:10/24/03 Time:4:3148 PM Fax Page 2 of 16 <br /> WON I MTM S T L -- <br /> STL San Francisco <br /> Sample Receipt Checklist <br /> Submission #:2003- <br /> CrCCkl;st c:.ntCel:d by, iiri:ials:• is`:>f'' iiatr <br /> %u_ ier n�rre. - ST- as^, �rancigC.0 Client_ <br /> N r <br /> C_atody.e.-11s:r.:ar.;on 9+t:ppint; n16:ner's3mpl-s Yes_No— �resem_ <br /> (7ta-r of C,rstcey p,asent? Yes Ne <br /> am of Ctstooy a!gG9cr r:'::en ehr;quis`ed and YeS NC_ <br /> C•-e;n.of CLaiouy 2•^.re•3s::.th SP_^mpi:'.ahe s? / <br /> Y=s Nn <br /> Sarl;Jhs in prop Win:'=inr:riL•r.�Yep — <br /> •�fs N„ <br /> S3r;gie ccr:al•,r s:niaC?'? YFr,_N^ <br /> SuNucr' s.-,mple v1::-ne fo:-?dirated Yes_ Wn _ <br /> .41 SR!'%Oes rSceivec vo:th'n ho:G ^r lirne'� r. 'N <br /> Y <br /> r^r4alPef.lbOlp <br /> 1313";;empefaiurE n .aYe-- <br /> N.- <br /> II <br /> Ice F:dser: Yes N� <br /> L'date. rr:iA..`i'l'S h.7.'G 7.OrC henc spaCd� n <br /> rVo <br /> I,^L•u'uble-s p'r.Fe^`. rn`or jo epp'oxirla?e bubbwe s ce='gid ilernme it :ommr.^'c as 5 (smC: -Uj.M >-'Cya..ro - U;III'L ilarpe- O: <br /> "Na pH acceptable upon receipt? O Yes C NL, ¢ <br /> C pH adjusted- P-eaervitive Jcry , iia"•, - -,,. : :—_Sn,, 7nr,,vc -Lo1 (st <br /> For any item check-listed "No", provided detail of discrepancy in comment sectior below: <br /> L . <br /> Contrnents: "' 1 •� .�G:.:,./jl;L. -" <br /> Project Management [Routing for instruction of indicated disc reflancy(ies}] <br /> �rcjrctv1-u ,cge . Nr.fals;' Dale' J3 <br /> Oji=, t ocnta;te:i. C Yes = No <br /> ;;erre::i'.•,. +iCt:f`n., . -'I.::i; ".,. <br />