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APR 07 197 07:33AM PARSOr =S P.6 <br /> o <br /> SPL Fullerton Environmental Laboratory <br /> Sample Receiving Checklist <br /> 9703078 '�' <br /> SPL Workorder Nurnber: <br /> Date: /d Time: /y' <br /> Yes No N/A <br /> 1. Chain of Custody Record Present? / <br /> 2. Chain of Custody Record Properly Completed? <br /> 3. Custody Seals on Shipping Container? <br /> 4. Custody Seals on Sample Container? <br /> 5. All Custody Seals Intact? <br /> 6. All Samples Received Intact? <br /> 7. All Samples Labeled Correctly? <br /> 8. Samples are Chilled at 2°C - 6°C <br /> * See Non-Conformance/ Sarnple Condition Notification Form only if box with "" is checked. <br /> Internal Temperature of Shipping Container °C <br /> Samples Were Delivered by: <br /> SPL Courier <br /> Client Representative <br /> Federal Express <br /> UPS <br /> DHL <br /> Other: <br /> Ail satuples will be disposed 30 days from the report date for this workorder, unless <br /> otherwise specified by the client. <br /> Samples Checked by: <br /> I:Watall'urius\iugiuchk. pd <br />