Laserfiche WebLink
HOUSTON LABORATORY <br /> 8880 INTERCHANGE DRIVE <br /> HOUSTON,TEXAS 77054 <br /> ® {713)660-0941 <br /> Sample Receipt Checklist <br />' Workorder 00080243 Received by Stelly,D'Anna <br /> Date and Time Received 819100 10 00 00 AM Camer name FedEx <br />' Temperature 4 <br /> i <br /> Shipping container/cooler in good condition? Yes &Z No❑ Not Present ❑ <br />' Custody seals intact on shippping containerlcooier? Yes No ❑ Not Present <br /> Custody seals intact on sample bottles? Yes ❑ No ❑ Not Present <br />' Chain of custody present? Yes No ❑ <br /> Chain of custody signed when relinquished and received? Yes No LJ <br /> Chain of custody agrees with sample labels? Yes W No ❑ <br />' Samples in proper containerlbottle? Yes fir No <br /> Sample containers intact? Yes I No j <br />' Sufficient sample volume for indicated test? Yes U No <br /> Ail samples received within holding time? Yes k No <br /> bontaineriTemp Blank temperature in compliance? Yes U No <br /> Water-VOA vials have zero headspace? Yes J No — Not Present <br />' Water-pH acceptable upon receipt? Yes �l — No —' — <br /> 1 <br /> 1 <br /> 1 <br />