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Job Sample Receipt Checklist Report Y2 <br />' Isc" 01/27/2000 <br /> Job Number 200190 Location 57218 Customer Job ID Job Check List Date 01/27/2000 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br />' Customer IT Group Contact Rhonda Teicheira <br /> Questions ? (YIN) Comments <br />' Chain-of-Custody Present' Y <br /> If "yes", completed properly? Y <br /> 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 />' 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 used? 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 /> Open cooler radioactive screen at or below bkgrd? N <br /> Additional <br /> Comments <br /> I <br /> mple Custodian Signature/Date - Y <br /> Page 1 <br />