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ASSOCIATED LABORATORIES <br /> 806Narth Batavia—Orange, California 92868 714-771-6904 FAX 714-538-7249 <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> [Date <br /> :Received: <br /> V(' Project: <br /> eceived in cooler: Na Ski Section 2) <br /> Section 2 <br /> Was the cooler packed with: 4 Ice Ice Packs Bubble Wrap Styrofoam <br /> Paper None Other <br /> Cooleror'box temperature: <br /> (Acceptance range is 2 to d Deg.C.) <br /> Section 3 � NIA <br /> Was a COC received? WS NO <br /> Were custod seals resent? <br /> If Yes were they intact? <br /> Were all samples seated in plastic bags? <br /> Did all sam les arrive intact?If no indicate below. <br /> Did all bottle labels a ee with COC? ID dates and.times <br /> Were correct containers used for the tests r aired? �r <br /> Was a sufYicient amount of sample sent for tests indicated? <br /> No heads ace in VOA vials?. <br /> - - r, erva rues us <br /> Were the sam.Ics scanned for resence of radioactive Was total residual chlorine measuredfrph Bioassa samples only)? <br /> *: <br /> If the answer is no;please inform Fish Bioassay Dept.immediately. <br /> .Section 4 <br /> Ex lanations/Comrnents <br /> Section 5 <br /> Was Project Manager notified of discrepancies: Y / N N/A <br /> Completed By: Date: (, <br />