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ZZ STL <br /> OPTL San Francisco <br /> Sam- aT <br /> ceipt Checklist <br /> T <br /> Submission #•2003- ' <br /> Checklist:completed hy_(initial Hate 0 ,a/03 <br /> Courter name 13 STL San Franosco 13 Client <br /> Not <br /> Custody seals intact on slapping container/samples Yes No Present Lf <br /> Chain of custody present? Yes -Na <br /> Chain of custody signed when relmquished and rec-ewed' Yes .f No <br /> Chain of custody agrees%wth sample laoels) Yes Na <br /> Sampses in proper contarnerrbottle') Yes No <br /> Sarnpie containers intact? Yqs�No <br /> Suffiiwent sample volume for indccatea testi Yes_,ZNo <br /> All samples recerved within riotding time's i Yes_1ZN0 <br /> CcntarnerfTerro clank temperature n corrpi:ante_ (40 C Tern °C "es--L <br /> Ica Present Yes -to T <br /> •''later-VCA nays have zero headspace) No VCA vials subrn=tteo Yes ` No <br /> id b.oble .s present rerer•o acproximate bubble size anc iterriixe in scmnems as S i'small-0) M(MEWLm - 0)or L(large- 0) <br /> I.Nater-pH acceptable upon receipt? as C Nc <br /> r, pH adjusted- creservatwe used HNC!s_ - Z '-ZSC,- NaCF- M a(DAa-Lot#(s) <br /> For any item chock-listed "No", provided detail of cisyc-apancy in crTnment sec:ori neiow: <br /> Comments- <br /> Project Management [Routing for Instruction of Indicated dlscrepanpy(ies)I <br /> Project Manager_ (initais� ^ate r rC`3 <br /> C,=ent ccrtac.ec Yes 0 Nc <br /> Summary or Iscussion <br /> • '�crcec r e =G C'1 �e��•ri'L_ a^'i <br />