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Login Sample Receipt Checklist <br /> • Job Number:720-40373-1 <br /> Client:Kleinfelder Inc <br /> List Source:TestAmerica San Francisco <br /> Login Number:40373 I,? <br /> List Number:1 <br /> creator:Apostol,Anita <br /> Answer Comment <br /> Question NIA <br /> Radioactivity either was not measured or,if measured,is at or below <br /> background NIA <br /> The cooler's custody seal,if present,is intact. True <br /> The cooler or samples do not appear to have been compromised or <br /> tampered with. True <br /> Samples were received on ice. True <br /> Cooler Temperature is acceptable. True <br /> Cooler Temperature is recorded. True <br /> COC is present. True <br /> COC is filled out in ink and legible. True <br /> COC is filled out with all pertinent information. True ® <br /> Is the Field Sampler's name present on COC? True <br /> There are no discrepancies between the sample IDs on the containers and <br /> the COC. True <br /> Samples are received within Holding Time. True <br /> Sample containers have legible labels. True <br /> • Containers are not broken or leaking. True <br /> Sample collection dateltimes are provided. True <br /> Appropriate sample containers are used. True <br /> Sample bottles are completely filled. N/A <br /> Sample Preservation Verified. True <br /> There is sufficient vol.for all requested analyses,incl.any requested <br /> MS/MSDsTrue <br /> VOA sample vials do not have headspace or bubble is 46mm(114")in <br /> diameter. True <br /> Multiphasic samples are not present. True <br /> Samples do not require splitting or composifing. True <br /> Residual Chlorine Checked. <br /> • <br /> 2/21/2012 <br /> TestAmerica San Francisco Page 15 of 16 <br />