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' STL - LOS,ANGELES / <br /> PROJECT RECEIPT CHECKLIST Date C / 13Al <br /> uantims Lot # 3 ! Quote # <br /> Client Name __ C=��— ' _ Project l41�7 <br /> ' Received by Date/Time Received _d113 b r l0o C� <br /> Delivered by ❑Cljent ❑Airborne ed Ex ❑DHL []Ultra-Ex []Rey B <br /> UPS []DES ]Other .•. <br /> •••.• as a..a <br /> ..........r.••.a.•......a....r..awa...a....•.rrra a•...r.aa.•w•a.•a.•r....aa.aa• •.a•..rr..a• <br /> Initial 1 Date <br /> Custody Seal Status: []intact []Broken None - Lill <br /> Custody Seal #(s) []No Seal # <br /> Sample Container(s)- ❑STL-LA Client ❑NIA <br /> Temperature(s) ICOOLERIBLANK} m °C c IcORREC7ED TEMP) <br /> Thermometer Used . ®IR (Infra-red) ❑Digital (Probe) . •• •• <br /> ' Samples. []Intact ❑Broken ❑Other <br /> Anomalies, • ,QNo ❑Yes (See Clouseau) <br /> Labeled by •• <br /> Labeling checked by r'•" • . . <br /> ....... 1..w.w..r I...a►............................................ <br /> .1►.•....a w..a..w a...a...•a a.•..♦a w•.r•. <br /> a••...r•a..•1..... 1 r a a..• •a w••a a <br /> Turn Around Time ❑RUSH-241-111 ❑RUSH-48HR ❑RUSH--72HR ONORMAL <br /> ' Short-Hold Notification ❑Ph ❑Wet Chem ❑Metals (Filter/Pres) []Encore NIA <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> •••••••••' LEAVE NO BLANK SPACES , USE N!A "'°•""' <br /> Fraction PH <br /> VOAh r <br /> 1 <br /> 1 <br /> ' or5od��Hrdoadc �lme Aeewod3o&M Hy&xu& a H25W o HTia3 mFHNa7->vela Cilmed orfrl tiTsV tib£a%ea <br /> HCl V VOA <br /> 0eC!C'1wr GIm 1m [Ceclor Gtaa Boade ACiJ Amber G!m!a AGB Amba Gass Bode PS_Paly Bortle E Facae 5�1c <br /> * Number of VOA's w!Headspace present <br /> LOGGED BY/DATE © REVIEWED BY/DATE: -C zi/if I.,i <br /> ' MIC v�7 m0200 u�r <br /> 000003 <br />