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Alpha Analytical, Inc. . Phone: (775)355-1044 FAX:(775)355-0406 Sample Receipt Checklist Date Report is due to Client: 6/2712003 Date of Notice: 6/19/2003 3:06:59 P Please take note of any NO check marks.If we receive no response concerning these items within 24 hours of the date of this notice,all of the samples will be analyzed as requested. Client Name Stratus Environmental Project ID: 2001-01031 Teickert Project Manager: Jay Johnson Client's Phone (530) 676-6000 Client's FAX (530)676-6005 Work Order Number STR03061929 Date Received:6/1912003 Received by: Graciela Navarrete Chain of Custody COC Information Carrier name Aloha Employe Chain of custody present? Yes ❑ No Custody seals intact on shippping container/cooler? Yes ❑ ❑ No Not Presen Custody seals intact on sample bottles? Yes ❑ ❑ No Not Presen 0 Chain of custody signed when relinquished and received? Yes ® ❑ No Chain of custody agrees with sample labels? Yes 0 ❑ No Internal Chain of Custody(COC)requested? Yes ❑ ❑d No Sub Contract Lab Used : None Z ❑ SEM Other(see comments) ❑ Sample Receipt Information Shipping container/cooler in good condition? Yes Z ❑ No Not Presen ❑ 10Samples in proper container/bottle? Yes 0 ❑ No Sample containers intact? Yes -7/1 ❑ No Sufficient sample volume for indicated test? Yes 0 ❑ No Sample Preseryation and Hold Time H Information All samples received within holding time? Yes Z ❑ No Cooler Temperature ContainerlTemp Blank temperature in compliance(0-6°C)? Yes 0 ❑ Na 4-C Water-VOA vials have zero headspace 1 no bubbles? Yes ❑./ ❑ No No VOA vials submitted ❑ TOC Water-pH acceptable upon receipt? Yes ❑ ❑ No NIA ❑d TOC Samples should have a pH<2(H2SO4) Anal1lical Requirement Information Are non-Standard or Modified methods requested ? Yes ❑ No Are there client specific Project requirements? Yes ❑ No If YES : see the Chain of Custody(COC) Comments: