Laserfiche WebLink
j x m <br /> 1 <br /> STL <br /> STL San Francisca <br /> Sample Receipt Checklist M <br /> Submission #•2005------ <br /> Checklist Completed by,(�nrtrals� late �i 1_t1�1p5 <br /> Couper name Cl STI_San Francilt� 0 Chen[ <br /> COS"suis intact o �Y �ntaEn amples Not <br /> Yes f+fo Present <br /> Chain of custody present? Yes-L,-,NC, <br /> Chairs of custody signed when rerinquKhed and received? <br /> Chain of custody agrees with tample lbbeis? Ye-S�'y tea <br /> Samples in proper cantainerUttte7 Yes t , NO— <br /> Sample contarne rs rntactl Yes L,,-' No <br /> 5uffldent sample volume for1""ted lest? Yes .No <br /> All tampies received vothin holding Vme? Yes No <br /> t�irnerTe Xf k �p7Ywµ p ge <br /> t � I.4� <br /> Fo'te1�#ia# f __ `a <br /> _ ' 3 <br /> S 4 i <br /> Satrlpletf,:41*-" go9ltl ib9rt.. 1k <br /> v}may a- r i <br /> i CW F'rea'Wies _ PFa <br /> Water--VOA vials have zero headspace? No VOA iAais submitted Yeses`Na <br /> (if Oubble is present, refer to approxiroWe bubblq size and iterrrize in MmmantS as S(small--()),M fmddiurrs— Q)or t_(6rge-- 0) <br /> Water-pH acceptable upon receipt> 0,Yes 0 No <br /> ❑p1 iadjusted-- Pneservallve used- C)t WO1 LI HCl 0 H2804 0 Na OH 0 ZnOAc -Lot#t19) <br /> For any item check-listed "No",provided dust oaf 0screpanGyin,com#nent section below- <br /> Comments. <br /> Project MAnalgement [Routing for in0tructlon of indicated discrepancy(ies)j <br /> i <br /> Ptpject Marnager (r1U#lals) Date <br /> Client contacted Ci Yes © No <br /> Surnrnary of cliSCusslon <br /> Corrective Action Jper pla+X116 f ' <br /> f <br /> t <br />