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CHROMALAB, INC. <br /> Environmental Service(SOB) <br /> Sample Receipt Checklist <br /> Tient Name HARDING LAWSON (SACRAMENTO) Date/Time Received. 07/10/98 <br /> Reference/Submis 40803 9807117 Received by e e .1 <br /> 1hecklist completed by. e 7,13 Reviewed by <br /> Signature Date nl <br /> latrix Q tD <br /> Carrier name Client C/L <br /> Not <br /> ipping container/cooler in good condition? Yes V No Present <br /> Not <br /> Custody seals intact on shipping container/cooler? Yes No Present <br /> Not <br /> stody seals intact on sample bottles? Yes No Present <br /> f <br /> ain of custody present? Yes Ll No <br /> ain of custody signed when relinquished and received? Yes 1C No <br /> Chain of custody agrees with sample labels? Yes f� No <br /> tmples in proper container/bottle? Yes No <br /> Sample containers intact' Yes �fC_ No <br /> Picient sample volume for indicated test? Yes No <br /> All samples received within holding time? Yes �r No <br /> ntainer/Temp Blank temperature in compliance? Temp� � °C Yes No <br /> Water - VOA vials hav zero headspace? No VOA vials submitted Yes No <br /> ir ter <br /> - pH acce ble upon receipt? Adjusted? Checked by <br /> chemist for VOAs <br /> Any No and/or NA (not applicable) response must be detailed in the cou=ents section below. <br /> dent contacted. Date contacted:====---_--^ Person contacted: <br /> 'ontacted by: Regarding: <br /> �umtents: <br /> 1 <br /> ective Action <br />