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STL — LOS ANGELES A)�� I <br /> PROJECT RECEIPT CHECKLIST Date. <br /> Quantims Lot # -1v)�' �� �f Quote # <br /> Client Name. C� /I'IA��1 Lei .�'� Protect l�G �✓ �1���-' % �1 <br /> Received by c ��� _ Date/Time Recerved. <br /> Delivered by ❑Client ❑Airborne Fed Ex []DHL ❑Ultra-Ex Rey B <br /> (]UPS ❑DES ❑Other <br /> Initial ! Date <br /> ' •• �� � Cr Custody Seal Status,�tact []Broken []None <br /> •• •• • , <br /> Custody Seal #(s)• / IXNo Seal # . <br /> Sample Container(s): ❑STL-LAhent []NIA .. ... .. . .. <br /> Temperature(s) (COOLERIBLANK) in °C: [coAAFeTEo TEMPI- <br /> - <br /> Thermometer UsedVio <br /> (Infra-red) ❑Digital (Probe) ......... ... . ....... .... <br /> ' Samples: tact []Broken []Other ... . ........ <br /> Anomalies: ❑Yes (See Clouseau) .... . ....... ........ .......... <br /> ' Labeled by ........ .........................•...................... ........... .:..•...........�... . .'....�.... ...... ... <br /> Labeling checked by <br /> Turn Around Time•❑RUSH-24�1R ❑RUSH-48HR <br /> []RUSH-72H� ORMAL ...... .. / <br /> ' Short-Hold Notification: ❑Ph ❑Wet Chem []Metals (Filter/Pres) ^ encore ❑NIA ... <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> ..................... <br /> .................... <br /> .................... <br /> •••••••••• LEAVE NO BLANK SPACES:USE WA•••••••••• <br /> Fraction �p/0 N!A <br /> ' VOAh 1+ <br /> t <br /> 1 <br /> 1 <br /> 1 <br /> . a.sr�.A�s...ao+•• + :IQSO. �u+aj aIGFONO&A"p•d .VU9G&L rfi1w" <br /> tHa CO&OwGhw.ar. AGL%*.ara. AGWAwbWOWbob MP*look tftmsmnow V'VCA <br /> yainber of VOA':wrl HcWq* a Present <br /> REVIEWED--BY/DATE:BYIDATE: !�f°1 <br /> LOGGED BY/DATE: o o r <br /> 1 ��...�..� 000004 <br />