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zoesesaeu auanp oeo <br /> vtlrhnmarrJa! WORK ORDER#: OT - ❑I ❑D - ❑� ® ❑fid PI <br /> ' N p Jratorles Inc. Cooler of—L— <br /> $ o � (9101)JONlilm)S00A SAMPLE RECEIPT FORM <br /> W 19'91Z-86LUOY98tL1(I0O T ° - <br /> CLIENT: a V" cf' ' DATE: <br /> (W'901,09)sinew ZZl k <br /> O lA o❑ Z (OGRII)A(0PCO)SYNd o o�o TEMPERATURE-SAMPLES RECEIVED BY: <br /> '\ CALSCIENCE COURIER: LABORATORY Other than Calscience Courier): <br /> Q (Z909)S90d ( ) <br /> 2 �❑ p Chilled,cooler with temperature blank provided. ;.6 °C Temperature blank. <br /> a W (YL9L9)s0PP9sed - <br /> �" _Chilled,cooler without temperature blank. _°C IR thermometer. <br /> 0 u❑ W (00[281 r0CAS Chilled and placed in cooler with wet ice. _Ambient temperature. <br /> 7 (SCOS)de,d al--u3 _Ambient and placed in cooler with wet ice. <br /> ~ a W (80929)ShO-MA _Ambient temperature. <br /> J (809Z8)sppA °C Temperature blank. Initial: <br /> O� (809Z9)381w/X318 <br /> w Hdl fr CUSTODY SEAL INTACT: <br /> F (90O-LO)JO(90-LO)to(P).OS Hdl - "e ✓Samplers): Cooler: No(Not Intact): Not Present: <br /> (b)Holl a a a 3 <br /> f i r s _ € Initial <br /> glisz : <br /> pa �CL ¢� - S S - SAMPLE CONDITION: <br /> u, <br /> W � _ Yes No - N/A <br /> y a <br /> yw <br /> O €V g U Lo y m Chain-Of-Cus[otly document(s)received with samples..._....................�G......._......_ <br /> 0 3 <br /> i <br /> •"' u ea,,, rr^ z o R ¢ c a a Sampler's name indicated on COC..............................._................ ✓ <br /> €Fara g_P 3 ` I H N Sample container tabella)consistent with custody papers..................... . <br /> dao g� <br /> J Cy o Sample conRiner(s)intacl and good condition...- ............._.......... V ....... ...... <br /> 31 <br /> hh <br /> .u a v ,4 N & @ p a Correct containers and volume for analyses requested...................... �G......._...... <br /> a <br /> w ( E c p = u Proper preservation noted on sample Wells)- .. ...... . .. <br /> ++ 1 s8 VOA vial(s)free of headspace. ..._ ....... .. ....... <br /> _� <br /> < yl <br /> n a =wF o Tedlar ba8(s)free of condensation ................._....... . ... .... <br /> r <br /> Initial: <br /> 2 ❑$ o _ �o <br /> C E c 3 3 m: COMMENTS: <br /> £i! a a o< g3 <br /> ti <br /> z " <br /> c8� m oo �Z b it 2 <br /> a V <br /> V U r6 I ❑i � a J 5 5 0— <br /> O <br /> V W N Y I v v v on <br /> 's� g w- �.. ub v <br /> �IU o <br /> u i y W p W l,J <br />