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ASSOCIATED LABORATORIES <br /> 806North Batavia—Orange, California 92868— 71¢771_6900 <br /> FAX 714-538-1209 <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Section l <br /> Client: VI <br /> Date Received: Project: <br /> Sari l s received in cooler: <br /> No Ski Section 2 <br /> Section 2 <br /> Was the cooler packed with: Ice <br /> Ice Packs Bubble Wrap .�Styrofoam <br /> Cooler or box temperature: Paper None Other <br /> (Acceptance range is 2 to b Deg.C.) <br /> Section 3 <br /> Was a COC received? YES NO N/A <br /> Were eustod seals resent? <br /> If Yes—were they intact? <br /> Were all samples sealed in lastic ba ? <br /> Did all sam les arrive intact?If no,indicate below. <br /> Did all bottle labels-agree with COC"? ,dates and times <br /> Were correct containers used for the tests required? <br /> . Was a suf$cient amount of sam le sent for tests indicated? �� <br /> IJo heads ace in VOA vials?. <br /> eserva Ives us ? <br /> Were the sam .les scanned for resence ofradioactivi <br /> Was total residual chlorine measuredish Bio assa sam les onl ? <br /> *: <br /> If the answer is no,please inform Fish Bioassay Dept.immediately. <br /> Section 4 <br /> Ex lanationslComments <br /> Section 5 <br /> Was Project Manager notified of discrepancies: Y f N N/A <br /> Completed By: . <br /> Date: ,� � G <br />