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Cal Tech Environmental Laboratories Inc, <br /> Sample Receiving Check List <br /> Date received Time —7 ( � gz- 3 J <br /> Lab ID# Client <br /> C C;-� . <br />' Answer Yes No NIA <br /> COC Present ❑ ❑ <br />' #of packages ❑ ❑ ❑ <br /> Sample received on ice ❑ ❑ <br />' Type of ice Blu et ■ ❑ <br /> Temperature 1'r, ❑ <br /> Samples intact ❑ ❑ <br /> Leaking bottles ❑ ❑ <br /> Custody seals intact ❑ ❑ <br /> COC completed ❑ ❑ <br /> Bottle labels matching COC ❑ ❑ <br />' Preservation Chk ❑ ❑ <br /> Preserved at lab ❑ ❑ <br />' Sample volume sufficient ❑ ❑ <br /> Notify analysts ❑ ❑ <br />' S ubcorntrct analyses 9 ❑ ❑ <br />' Dxscre ancies and Notifications <br /> 1 <br /> n � ? <br /> Sample Receipt by- OC � <br /> 1 <br />