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CHROMALAB, INC. <br /> Environmental SO(Vice(SDB) <br /> Vb Sample Receipt Checklist <br /> Ilient Name HARDING LAWSON (SACRAMENTO) Date/Time Rece ve 04/29/98 <br /> Reference/Submis 39576 V&40151Ai(qg- <br /> Receedbyheckli.st completed b Reviewed b <br /> Si gnatur y Date r Tim ti l D e <br /> �atr-ix .�//1•�_1"l�lf' �C/,L�// Carrier name Client - C/L�/( <br /> Not <br /> lipping container/cooler in good condition? Yes No Present <br /> Not <br /> Custody seals intact on shipping container/cooler> Yes No Present <br /> Not <br /> lustody seals intact on sample bottles Yes No Present <br /> Chain of custody present" Yes _,----No <br /> Fain of custody signed when relinquished and received> Yes I/No <br /> Chain of custody agrees with sample labels? Yes J_No <br /> jamples in proper container/bottle? Yes No <br /> Sample containers intact? Yes -�a <br /> icient sample volume for indicated test? Yes f No <br /> 1181samplesholdin received withing time Yes _,---�No <br /> t <br /> ntainer/Temp Blank temperature in compliances Temp `CYes No <br /> ter - VOA vials have zero headspace> No VOA vials submitted �No <br /> ty <br /> ter - pH acceptable upon receipt's fi AdJusted> Checked by <br /> Cion <br /> hemist for VOAs <br /> No and/or NA (not applicable) response must be detailed in the comments sec below. <br /> Tient contacted: Date contacted Person contacted <br /> lontacted by: Regarding: <br /> rnanents. <br /> ective Action: <br /> �r <br /> l <br />