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LAk <br /> ASSOCIATED LABORATORIES <br /> 806 North Batavia—Orange, California 92868--- 714-771-6900 FAX 714-538-1209 <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Section I <br /> Client: T' C Project: <br /> Date Received: <br /> Samles received in cooler• es No Ski. Section 2 <br /> Section 2 <br /> Was the cooler packed with: Ice k Ice Packs Bubble Wrap _Styrofoam <br /> Paper None Other <br /> Cooler or box temperature: .(o <br /> (Acceptance range is 2 to 6 Deg. C.) <br /> Section 3 YES NO NIA <br /> Was a COC received? <br /> Were custody seals resent? <br /> If Yes—were they intact? <br /> Were all samples sealed in plastic bap? <br /> Did all samples arrive intact?If no,indicate below. U <br /> Did all bottle labels ce with COC? dates and times v <br /> Were correct containers used for the tests required? v <br /> Was a sufficient amount of sam le sent for tests indicated? <br /> No heads ace in VOA vials? <br /> Were the correct preservatives used? <br /> Were the samples scanned for resence of radioactivit <br /> Was total residual chlorine measured Fish Bioassay samples only)? LZ <br /> *:If the answer is no,please inform Fish Bioassay Dept.immediately, <br /> Section 4 <br /> Explanations/Comments <br /> Section 5 <br /> Was Project Manager notified of discrepancies: Y 1 Nn <br /> N/A <br /> By: LC;/�_ J V<2 Date: � '(� <br />