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E.W....aMw.___T...... w.mw.,....F.duna«.�.�.,........era-:m..w...«...a..«....,..-..... .....--.»✓-..,-».....,_..._ �w.�»L....�..»s�—.w,ew-...._.._�.- _.- .mw..... ..—on».,.....�.._...............—... ma.v..«.......,.... <br /> MUEB STL <br /> , <br /> STL San Francisca <br /> Sample Receipt Checklist <br /> Submission # 2004- O'� - 01- / <br /> Checkl+�,l tcmpleted by (mitrals} J64W Date f a 104 <br /> Cosarier name ❑ STI`San Francisco © Client <br /> flat <br /> Custody seal,,lnl2cl orrshipping wnt-ainerls�dmplcs Yes No lJresert <br /> E <br /> Chaln Of Custody present-7 Yes No <br /> Chairs of Custcdy signed when relinquished and race€ved? Yes Nq_ <br /> Clain of custcdv agrees with sample fabels`7 Yes No <br /> Sarrtpres in groper coRtalner,bottfe7 Yes No <br /> Sample rcuni:amp.rs mtact� i Yes No <br /> Sufficient sample volume for indicated test's I� Yes � No <br /> All samples received within holding time? ! Yes � Nc, <br /> E' i tc7 nor �SY] �1an t k 1�CP 1n CO[17 bra C "�•-�� `a' ,� ;c% n" -ty .�......: p s,» ».. kyw �s'" `� <br /> ;�.+ur aKu- <br /> �� <br /> i 6rtilal reasonh=ire �s� �w, �P wll�,` <br /> 11G,1 ® 53s ,. ��S �3eIlf �b © l # t�Fe i71Ff a aa <br /> 2� »� a �> �r3 I[lk 8 Ls� <br /> JI 124Z <br /> r,�� � <br /> - ,��n z aaa-.�,:=a t, � ,. zfi",a-� r.tr,�b��"-•="z �._ lC���rLS�I�"°`��4 _x i�ik+In <br /> • Wester-VOA vials have zero headspace? No VOA vials sr br-artted V, Yes No <br /> I <br /> (if bubble is present refer to approxrr,tate bubble siee and jtwrnrze in comments as Ssmall-j� , Ml medium <br /> ( ) � 0?or L(large-- 0) <br /> Water -PH acceptable upon receipt? Q Yes ©bio <br /> M pH adjusted- Pieservative used Cl HNO3 0 HC't® HiSQi©NaOH d ZnOAc-Lot#(s) <br /> For any item check-listed "No",provided detail of discrepancy In comment section below- <br /> Comments* <br /> Project Management [Routing for instruction of indicated dlscrepanc�r(les)) <br /> Project Manager (rnitEals) Date <br /> ____f_104 t,lrerlk cant cted Yes © No <br /> Summary of discussion <br /> i <br /> E <br /> . <br /> Cor recm,e Act cif (pe, I0IA'Crrent) � E <br /> E[� <br /> EE � <br /> i <br /> i <br /> i <br />