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STL - LOS,ANGELES <br /> PROJECT REEIPT CHECKLIST Date <br /> uantlms Lot # 7 2I�-- __ Quote # <br /> Client Name ��' Project 2 C C <br /> Received by Date/Time Received t�4/1 SIL JlC`C_ <br /> Delivered by ❑Client ❑Airborne Fed Ex ❑DHL []Ultra-Ex []Rey B <br /> aUPS ODES NOther <br /> •••• ••••• � •a.,a•a•a.ara•+••raa••,•rrr••a•arr,a•aar.•masa••r•aaraaa•rr••a.,a•raa•a•a•,••a• <br /> •r• .,,• •r r r,r a <br /> Initial I Date <br /> Custody Seal Status: ❑Intact ❑Broken None,© <br /> Custody Sea[ #(s) ❑Na Seal # <br /> Sample Container(s): ❑STL-LA ( Client ❑NIA <br /> Temperature(s) IC00LER/BLANK) in °C 4` ti (CORRE4ED TEMP) <br /> Thermometer Used : SIR (Infra-red) ❑Digital (Probe) . <br /> Samples ©Intact ❑Broken ❑Other <br /> Anomalies J2No ❑Yes (See Clouseau) <br /> Labeled by .. .. i , as ..:. ... ... .a. ... <br /> Labeling checked by ar,aa.a..... <br /> .............ra•aarr,rr••,••rraa ,rr,.• •.•a•raar•a,••rr,•a•raa• <br /> ..... <br /> r Turn Around Time []RUSH--24HR ❑RUSH-48HR ❑RUSH-72HR ©NORMAL <br /> s Short-Hold Notification ❑Ph ❑Wet Chem []Metals (Filter/Pres) []Encore , NIA <br /> 47 <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> •••••••••• LEAVE NO BLANK SPACES, USE NIA ••'"'•••' <br /> Fraction FH <br /> NIA <br /> VOAh f <br /> a=�d„ao Hymnde Z, AeeaeeisaM=Hyl �EMSoe dHiao3 aIFHNol Fidel cheered aJUI HNal Lab fihaed <br /> CGIIt tcFa�e:$ er V VOA <br /> CGI Clea GUM Lv [GB L7er Gran Bon1e AG!Amber GIS lar AGB Amber Glm Bance 88.Poiy 8csde <br /> *Number of VOA's w/Headspace present <br /> LOGGED BY/DATE cy O REVIEWED BY/DATE- F �/'�l�r <br /> �+c..•aa•sen•w <br /> nA0003 <br />