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11 <br /> . Brooks Rand LLC Sample Receiving Log <br /> Tracking# 02BR156 Due Date 515142 <br /> Recervmg Date 415102 <br /> Customer McCampbell Analytical Receiving Time 10 00 AM <br /> Contact Michelle Miller Logged-in by Frank McFarland <br /> Prolect Ref # MCA001 Login Date 4/5102 <br /> Collection Date 413!02 Login Time 12 00 PM <br /> QA Level Standard Airbill present? Yes <br /> Sample Condition Intact Airbill# 8256 4026 6873 <br /> Shipping container Intact? Yes Career FedEx <br /> Shipping container type cooler Custody seat present? Yes <br /> Shipping container temp 3 4°C Custody seal Intact? Yes <br /> Shipping container coolant ice COC Present? Yes <br /> GOC Number NIA <br /> Sample preservation 0 5%BrCI <br /> Acid lab# 02-074-BrCI Analysis request form? No <br /> Hg Concentration COC/Sample tag agree? Yes <br /> Sample storage area Cabinet#1 See SOW No See Project Manager No <br /> See Memo No See Lab Manager No <br /> Sample Turnaround Time Consult MSDS No See Contract Info No <br /> Contract Turnaround Time 30 days <br /> Comments <br /> I <br /> Lab 1D Sample Tag# Container# Size pH MatmdSub-Matrw Comments <br /> 1 Effluent glass 250 mL Bottle c2 Water,Effluent <br /> Analysis 1 Method Hg EPA 1631 Mod 2 <br /> — 2— Effluent(duplicate) glass 250 mL Bottle <2 —Water,Effluent —— —— <br /> Analysis I Method Hg EPA 1631 Mod 2 <br /> 3 <br /> —� �— -----g--- ---- -----__.._. -------.---- <br /> 3 EQ Blank lass--- 250 mL--Bottle c2 -- <br /> Water, <br /> Analysis 1 Method Hg EPA 1631 Mod 2 <br /> Sample Custodian sigrrature Date <br /> Page 1 of 1 <br />