Laserfiche WebLink
i <br /> ' STL San Francisco <br /> Sample: Receipt Checklist <br /> Submission #2005- j <br /> Ciieokiist'mom o'by C,A7E <br /> Couper r STt_5F couner Fe UPS other Client <br /> tLog�ln�l7etails Yes No Comments <br /> 1 Custody seats intact on shipping containerlsatmples <br /> t2 Chain of custody present? / <br /> 3 lChatin of custody signed when relinquished and received? <br /> I � r.:}FII SaG#y6cf nl('�t ill r..r o pa"},s41 <br /> ' a All samples checked wlien GOC relinquished <br /> Chain of custody agrees with sampl©labels? <br /> ' 6 Samples to proper containarlbottle'> <br /> 7 Sample containers intacO <br /> FB <br /> ISuffliment sample volume for indicatad test? <br /> s Lill samples receved within holding time? <br /> ' GoolarTemperature Compliance Check <br /> Temperature Blank Reading; 'Cooler Samplv'Tani ptrrature" <br /> 11 Ma UO blEnk it-YJ, MJIWa 7 d2 a�3 AvPragt4, <br /> lBftYr.CIL#lNfO RtufE <br /> Uu inn as pat <br /> GOP <br /> d <br /> Reason for.Eidvated Temperature StimPii s�Yilh l rr4i }G'C—Comments <br /> ' Icre Melted r- lmuTrivenl it:P r <br /> 5amp m boxes r Satitpicd c dlti_ Ice not req <br /> VOkSample ftispef-tion <br /> Small Mad- Larga.J <br /> -°�5amplesrutilibroken, <br /> rt ,p <br /> ��pien crackcd`o ieakIrxgcontairtors <br /> izisont In-any of the;VO A' Ii t - �- �- z <br /> µ'i7I"dlSw'tn� <br /> -- # Y'}s No 5armplas vAth Unacceptable pH <br /> ' Water.pH acceptable upon recelp.7 f- f <br /> s <br /> 0 pH adjusted- Pieserva#roe used 0 HNO,t 0 HO a ljI SO,C1 NaCit•i ❑ZnOAo-Lottl(s) <br /> ' Comments <br /> ' project Management [Routing for instruction of Indicated dtscrepancy(tes)] <br /> i <br /> Project M21189L'r (initial$) Rate l 105 Client contacted YEF NT- <br /> Surnwary of discusstpn <br /> ' Corrective Action(per PMIClEent) <br /> jy[.};Chesfli,v Vel$.� <br />