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V2 <br /> jsckL Job Sample Receipt Checklist Report <br /> 02/08/2000 <br /> Job Number 200278 Location 57218 Customer Job ID Job Check List Date 02/07/2000 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer IT Group Contact Rhonda Teicheira <br /> Ouestions 9 (Y/N) Comments <br /> Chain-of-Custody Present? Y <br /> If "yes", completed properly? Y <br /> I` Custody seal on shipping container? N <br /> If "yes", custody seal intact? N <br /> Custody seals on sample containers? N <br /> If "yes", custody seal intact? N <br /> Samples chilled? Y 3 <br /> I <br /> perature of cooler acceptable? (4 deg C +/ 2) Y <br /> Temperature measured from temperature blank? N <br /> Samples received intact (good condition)? Y <br /> Volatile samples acceptable' (no headspace) _ Y <br /> Correct containers used9 Y <br /> Adequate sample volume provided? Y <br /> Samples preserved correctly? Y <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample labels? Y <br /> { <br /> ,I Open cooler radioactive screen at or below bkgrd? <br /> Additional - <br /> ' Comments - <br /> 1 , mple custodian Signature/Date Y <br /> Page 1 <br />