Laserfiche WebLink
JAN--31-2003 1544 P 08"M <br /> WORK ORDER 0: 03- - [,"j, <br /> Cooler of <br /> SAMPLE RECEIPT FORM <br /> CLIENT. 1%1t--F DATE: <br /> TEMPERATURE—SAMPLES RECENED BY: <br /> CALSCIENCE COURJER: LABORATORY(Offen than Caladerrca Courier): <br /> ChiNed,cooler with temperature blank provided °C Temperature blank. <br /> Chi Wd,cooler wkhW temparatime blank °C IR ftrynomvtw <br /> Chilled and placed In cooler with wet ICa. Ambient temperature. <br /> Ambient and placed In ooWer with wet Ica <br /> Ambient temperature. <br /> °C Temperature blank. <br /> CUSTODY SEAL INTACT; <br /> 3:imP1e(a) Cooler 'f No(Not Intact) Not Applicable(NIA)' <br /> initial <br /> . SAMPLE CONDMON: <br /> Y!!, No WA <br /> Chain-Of-Custody documerrt(s)rnoelved wdh samples ... .. <br /> Sample container la <br /> p beI(e)consistent with cuabdy papers. .... <br /> Sample oontahrer(s)Intact and good condition ....... . .,... <br /> Correct contalnery fbr analyses requested _ <br /> Proper preservation noted on sample label(s) .. �' .. .. <br /> YDA vW(s)free of headspace ... -� <br /> Tedlar bags)free of condensation . . .. ... <br /> Initial, <br /> COMMENTS: <br />