Laserfiche WebLink
® STL <br /> STL San Francisco <br /> •'J, .1 • Sample Receipt Checklist <br /> bmission # 2003- - 60 L4 Z) <br /> Checklist completed by (initials) Date Z / Z_ 103 <br /> Courier name] STL San Francisco ❑ Client / <br /> � Not f <br /> Custody seals intact on shipping containedsamples Yes No Present ' <br /> Cham of custody present? Yes V 0- <br /> Chain of custody signed when relinquished and received? Yes No <br /> Chain of custody agrees with sample labels? Yes_]/- No <br /> Samples in proper container/bottle? Yeses'No <br /> Sample containers intact? Ye�� iVo <br /> Sufficient sample volume for indicated test? Yes—Aeff�NO <br /> All samples received within holding time? Yes k<No <br /> Container/remp Blank temperature in compliance (40 C±2)? Temp C Yes—AZNo <br /> Ice present Yes,�I Iy0 <br /> Water-VOA vials have zero headspace? No VOA vials submitted Yes L--"Io <br /> Obubble is present, refer to approximate bubble size and itemize in comments as S (small -O), M(medium -- O) or L (large — O) <br /> Water-pH acceptable upon receipt? Erfe—s ❑ No <br /> ❑ pH adjusted— Preservative used ❑ HNO3 ❑ HCI ❑ H2SO4 ❑ NaOH ❑ZnOAc—Lot#(s) <br /> For any item check-listed "No", provided detail of discrepancy in comment section below <br /> Comments <br /> Project Management [Routing for instruction of indicated discrepancy(ies)] <br /> Project Manager (initials) Date 1 /03 <br /> Client contacted ❑ Yes ❑ No <br /> Summary of discussion <br /> rrective Action (per PM/Client) <br />