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Login Sample Receipt Checklist <br /> Client:Sierra Delta Corporation Job Number:440-6405-1 <br /> Login Number:6405 List Source:TestAmerica Irvine <br /> List Number:1 <br /> Creator:Escalante,Maria <br /> Question Answer Comment <br /> Radioactivity either was not measured or,if measured,is at or below N/A <br /> background <br /> The coolers custody seal,if present,is intact. N/A <br /> The cooler or samples do not appear to have been compromised or True <br /> tampered with. <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 Samplers name present on COC? True <br /> There are no discrepancies between the sample IDs on the containers and True <br /> the COC. <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 date/times are provided. True <br /> Appropriate sample containers are used. True <br /> Sample bottles are completely filled. True <br /> Sample Preservation Verified. True <br /> There is sufficient vol.for all requested analyses,incl.any requested True <br /> MS/MSDs <br /> VOA sample vials do not have headspace or bubble is<6mm(1/4")in N/A <br /> diameter, <br /> Multiphasic samples are not present. True <br /> Samples do not require splitting or compositing. N/A <br /> Residual Chlorine Checked. N/A <br /> TestAmerica Irvine <br /> Page 21 of 21 4/23/2012 <br />