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x" <br /> I, STL <br /> STL San Francisco <br /> � Sample Receipt Checklist <br /> Submission 4:2004- - -- <br /> a <br /> Checklist COW plitited by (Initials) /� ©ate <br /> Couner name 0 Sn San Francisco, ❑client <br /> Custody seals intact onogakDn co �n'n� Not <br /> Yes samples YeNo Present <br /> Chain of custody present? <br /> Yes t�i� <br /> Chain of custody sfaned when relinquished and recenroj? � <br /> Chain of custody agrees w0h sample labels" Yes k__� No <br /> Saniples so,proper can€ainprlt tlle7 Yolk <br /> ---540- <br /> Sample containers intact? Yes f-Il+lo <br /> Suffimerit sample volume for indicated test? Yss ,NO.- <br /> All samples received within holding time? Yes NU <br /> �..�� T pzc <br /> ° ,a a![]oJ,t!'l <br /> ' el s fi1i T F e <br /> I q E k <br /> •` t�l�iter-�1CA vials#cave,ceao head5pa€�'� l��VCx�vials subriirflttt���„„„,,,, �'�s t•Jo <br /> (if bubble is present,refer to approx"ate bubble size and ilernize in corrsments as S Ornsll-0).M(medium- d)car L Marge- ) <br /> Writer pH acceptable upon receipt? El Yes C No <br /> 0 PH adjusted- Preservative used- 0 HNQi U HCl©H- SO4 0 NhQH C7 ZnOAc-Lot##(s) <br /> For any item check-listed "No".providers detail of discrepancy fn comment section below <br /> Comments <br /> Project Management [Routing for Instruction of indicated disc repancy(ies)] <br /> Project klanager (initials)�Date Client contacted Cf Yes 0 No <br /> Summary of discussion <br /> Caffectil-Acton (per Pki/Client) <br />