Laserfiche WebLink
• • <br /> ASSOCIATED LABORATORIES <br /> 806 North Batavia–Orange, California 92868– 714-771-6900 FAX 714-538-1209 <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Sectio�—Z <br /> r <br /> -- <br /> Client: V(#' Project: <br /> Date RecSam l s cooler: e No(Skip Section 2) <br /> Section 2 <br /> Was the cooler packed with: w( Iee Ice Packs —Bubble Wrap Styrofoam <br /> – Paper None Other <br /> Cooler or box temperature: <br /> (Acceptance range is 2 to 6 Deg.C.) <br /> Wallsam <br /> C received? YES NO NIA <br /> tod seals resent? <br /> were the intact? <br /> am les sealed in Iritic ba s7 <br /> m les arrive,intact?If no indicate below. <br /> ttlelabels a ee with COC? lD, dates and times <br /> Were correct containers used for the tests required? <br /> Was a suf$cient amount of sample sent for tests indicated? <br /> No heads ace in VOA vials? <br /> r rva Ives us <br /> Were the samples scanned far reselrce of radraactrvi <br /> Was fatal residual chlorine <br /> In <br /> easured isle Bioassay samples only)? <br /> *:If the answer is no,Please inforrrl Piste Bioassay Dept.immediately, <br /> Section 4 <br /> Ex lanations/Camrnents <br /> Section 5 <br /> Was Project Manager notified of discrepancies: Y J N N/A <br /> Completed By: Date: <br />