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STL - LOS ANGELES <br /> PROJECT RECEIPT CHECKLIST Date <br /> antims Lot # r Z� cif 7 — Quote # <br /> Client Name i ��'�� -- <br /> Project S i�Z -5�`�-� `��-v— <br /> Received by. Date/Time Received <br /> Delivered by ❑Client [:]Airborne ©Fed Ex ❑DHL []Ultra-Ex ❑Rey B <br /> QUPS.......,RDES......,.[JOther...................................too t••toot.......... <br /> toot <br /> Initial 1 Date <br /> Custody Seal Status- []Intact ❑Broken [None <br /> Custody Seal #(s) ❑No Seal # <br />' Sample Container(s) ®STL-LA ❑Client ❑NIA , ••-•• •: <br /> Temperature(s) ICOOLERIBLANK) in °C• 3 v _ (CORRECTED TEMP) <br /> Thermometer Used . ©IR (Infra-red) ❑Digital (Probe) • • • ••• <br /> tSamples Intact ❑Broken ❑Other ::•. <br /> Anomalies- [JNo ❑Yes (See CIOuseau) . • - <br />'' Labeled by ... .. •. •.., ... • .•.... . . ... .. . .. .. . <br /> Labeling checked by • - toot......•.....�......•..... ....... <br /> r..•.►a.......r..•..........,.r....... <br /> ...a•w.....•r.a.•,...•r...•...•. <br /> Turn Around Time-❑RUSH-24HR ❑RUSH--48HR ❑RUSH-72HR [NORMAL . ... <br /> Short-Hold Notification. [:]Ph ❑Wet Chem ❑Metals (Filter/Pres),. ❑Encore `QNIA .. <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> ... <br /> LEAVE NO BLANK SPACES , USE N/A •..... <br /> Fraction 4 NIA <br /> VOAh f <br /> 1 <br /> 1 <br />' dEFBt03 F4dd6hesd WRHNO3-Lab filmed <br /> HCl atSodsam H�We mwa.ZMC AW dS-&—H�r& We c HZS04 nHNO3 V VOA <br /> OJ Ckm OL+ss Ja COB Cksr Gls>'Baine AW Ambo Gbm)r AGB Amber Glass$oak T8 tdJ Bride <br /> EFaoaes Snoplo <br /> *Number of VOA's w/Headspace present <br /> REVIEWED BY/DATE: e ° <br /> ZI <br /> LOGGED BY/DATE. & .C..w.. <br /> ,�r.,we:oow 000004 <br />