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TL <br /> TL San Francisco <br /> Sample Receipt Checklist <br /> Submission 4:2003- - 4720 <br /> Check list Completed by. Date= n�" &M <br /> Courier name, Q STL San Francisco 4L Iient <br /> ~� Not <br /> Custody seals intact un hipping cantainefJs'a plea Yes No Present <br /> Chain of custody present? Yes o <br /> Chain of euslady signed when rotinquished and received? Yes '( No <br /> Chain of custody agrees with sample labehs? Yes � Na <br /> Samples In proper containedboitle? .Yes — Ne <br /> Sample containers int6 ? lies o <br /> Sufficient sample volume for indicated test? Yes—,,-- <br /> All samples received within holding tlrne? Yoe <br /> CentainerJTernp Blanks temperature in compliance{4° C }2}? Ternp_ °C Yes L""'—No <br /> Water-VOA vials have zero headspac�e? No VOA viae submitted Yes ----'No- <br /> (if <br /> Np(if bubble is present. refef to approxirrmate bubble sFie and IternlZL-In Comments as S (small -0), M (medHim 4 ) or L(large– ) <br /> Water-pH acceptable upon receipit' Y"es k7 No <br /> 0 pH adjusted– Preservative used; ❑ HNOn ❑ HC1 M H2! O4 d NaCH D ZrtOAc <br /> For any item check-listed "Ho", provided detail of discrepancy In comment section below; <br /> Cornments <br /> Project Management [Routing for instruction of indicated di crepancy(ies)] <br /> Project Manager (irGitial5) _ Date- <br /> Client coritaoted: L7 Yes Q No <br /> Summary of discussion- <br /> Corrective Action (per Ph+I1Clieiit}; <br />