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(OULAB <br /> ENVIRONMENTAL TESTING SERVICES <br /> SAMPLE RECEIPT CHECKLIST <br /> Client Name: <br />' Job Number: C3g' 2l � Received by: ch Date/Tune: <br />' Stored in: Checklist by: A Y Date/Time: {/ <br /> Matrix: Log-in by: Date/Time: <br /> Items of Concern Yes No N/A Comments <br /> ' Client Delivered <br /> ' Samples Shipped By: <br /> Courier Delivered By: <br /> COC seals used / Shipping Container Sample Containers <br /> COC Present Ai <br /> COC Accurate <br /> ' Samples Intact <br /> Correct Containers <br /> Adequate Sample Volume <br /> Samples Chilled (2-60C) 00w/o cooler w/o ice <br /> P <br /> Sample H taken acceptable <br /> P P <br /> No Headspace in VOAs 441 <br /> Holding Times Acceptable <br /> Client Knows of Problems Routine Telephone <br /> ' Additional <br /> Comments: <br /> ' /u/watt/(o9s_n_for=/samp_rec form 10/22/96 Cora laboratories,Inc <br /> 1250 East Gene Autry flay Anaheim California 92805 (714)937 1094 (800)404-CORE Fax(714)937 1170 <br />