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6-30-1997 9:21AM FROM <br /> P. 8 <br /> CHROMALA6, INC. <br /> Envlrmmenw service Is Dal <br /> Sample Receipt Checklist <br /> Client. Name : TERRANEXT-OZje&& <br /> ARLAND Date/Time ReCP. ived: 06/13/97 <br /> Reterence/;ubmis : 34195165 eceivcd by : <br /> Checklist completed by: �! �� ! <br /> / - ^ Signature Reviewed by: ' <br /> Intttalf Da[c <br /> Matrix: Carrier name: Client. <br /> Shipping Container/cooler in good condition? Not <br /> Yes No „_ present <br /> Custody seals intact on shipping container./cooler? Not <br /> pp g Yes — No present _ <br /> Custody seals intact on sample bottles? Not <br /> Yes No Present _ <br /> Chain of custody present? <br /> Yes _� , No <br /> Chain of custody signed when relinquished and received? <br /> Yes / NO _ <br /> Chain of custody agrees with sample labels? / <br /> Yes ./ No <br /> Samples in proper container/bottle? <br /> Yes No _ <br /> Sample containers intact? _� <br /> Yes No <br /> Sufficient sample volume for indicated test? <br /> Yes No �— <br /> All samples received within holding time? <br /> Yes No _ <br /> Container/Temp Blank temperature in compliance? Te. _ <br /> 'np� �O'C Yes � No _ <br /> Wa er - vOA vials have zero headspace? No VOA vials submitted <br /> Yes No _ <br /> Wa er - pH acceptable upon receipt?_ Adjusted? Checked by _- <br /> chemist for VO0.s <br /> Any No and/or NA (net applicable) response must be detailed in the cotttments section below. <br /> Client contacted: Date contacted: Person contacted: <br /> Contacted by: Regarding: <br /> Comments: <br /> Corrective Action: <br />