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SunStar Page 1 of—L <br /> Laboratories, Inc. <br /> PPOVII,INO QUun ANnWfCAL SPR'KBtNaiUNwivo . <br /> SAMPLE RECEIVING REVIEW SHEET <br /> BATCH# TINo � <br /> Client Name: P*,Ant, ZU SF Project: 2.442 S• Cs1 Forn a S _cif. S-6ckk.+nrr'A <br /> 0.SLo6 <br /> p <br /> Received by: Date/Time Received: 4(2,rf 8SD <br /> l�r�a <br /> Delivered by: []Client ❑SunStar Courier SCGSO ❑FedEx 0 Other <br /> Total number of coolers received 1 Temp criteria=6°C>0°C(no frozen containers) <br /> Temperature: cooler#1 _L_!1_0C+/-the CF (-0.2°C) _ =t °C corrected temperature <br /> cooler#2 °C +/-the CF (-0.2°C) = _°C corrected temperature <br /> cooler#3 °C+/-the CF (-0.2°C) = _°C corrected temperature <br /> Samples outside temp. but received on ice,w/in 6 hours of final sampling. <Yes []No* ON/A <br /> Custody Seals Intact on Cooler/Sample <br /> KYes ONct` []N/A <br /> Sample Containers Intact <br /> Yes QNo* <br /> Sample labels match COC ID's <br /> [%Yes ONO* <br /> Total number of containers received match COC <br /> Yes ONo* <br /> Proper containers received for analyses requested on COC <br /> Yes ONO* <br /> Proper preservative indicated on COC/containers for analyses requested DYes ONo* Sal'/A <br /> Complete shipment received in good condition with correct temperatures,containers,labels,volumes <br /> preservatives and within method specified holding times. KYes E]No* <br /> *Complete Non-Conformance Receiving Sheet if checked Cooler/Sample Review-Initials and date <br /> K(zr lq <br /> Comments: <br />