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CHROMALAB, INC. <br /> Environmental Service(3DB) <br /> VP Sample Receipt Checklist <br /> Tient Name: HARDING LAWSON (SACRAMENTO) Date/Time Received 07/16/98 <br /> Reference/Submis 40879 1 9807193 Received by <br /> Checklist com leted b ' Y- 1 Reviewed by: �l� <br /> P y Signatu Date m trals I Date <br /> tatrix / � _ _ Carrier name Chen C/L <br /> Not <br /> hipping container/cooler in good condition? Yes V1---No Present <br /> I Not <br /> Custody seals intact on shipping container/cooler? Yes No Present (� <br /> Not l---" <br />�ustody seals intact on sample bottles? Yes No Present <br /> Chain of custody present? Yes No <br /> Thain of custody signed when relinquished and received? Yes No <br /> Chain of custody agrees with sample labels? Yes if No <br /> Iamples in proper container/bottle? Yes !� No <br /> Sample containers intact? Yes 1'1� No <br /> ivicient sample volume for indicated test? Yes 11-� No <br /> All samples received within holding time? Yes 4--�No <br /> ont4iner/Temp Blank temperature in compliance? Temp °C Yes L--No <br /> ater - VOA vials have zero headsP ace? No VOA vials submitted Yes No <br /> eater acceptable upon receipt? Adjusted? Checked by <br /> chemist for VaAs <br /> Any No and/or NA (not applicable) response must be detailed in the couunents section below. <br /> Tient contacted. Date contacted: Person contacted - <br /> I <br /> ontacted by: Regarding: <br /> lomments <br /> l <br /> ectzve Action: <br /> i <br />