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' STL — LOS ANGELES Date: 92 Z�E16D <br /> PROJECT RECEIPT CHECKLIST <br /> 2 O 1ST Quote # <br /> Quantims Lot # 1..r Project: o � 179 <br /> Client Name. Y`7- �' - <br /> Rhent Nd by: DateMme Received. ��� <br /> Delivered by :❑ <br /> Client ❑Airborne �Oed Ex []DHL ❑Ultra-Ex ❑Rey B. <br /> ❑UPS []DES ...... <br /> ............................................................................,..........,.....initial ! Date <br /> a'71;q <br /> i .......... *21W <br /> Custody Seal Status. ❑Intact []Broken [None ........ . ........ ............. . <br /> ❑No Seal # ........... <br /> Custody Seal #(s)' Client ❑NIA .. •"' <br /> Sample Container(s). ❑STL-LA <br /> .. ................... <br /> Tem erature(s) 1C00LERISLANK) in °C: =M <br /> .. (CORRECTED TEMP).- <br /> Temperature(s) <br /> EMPI.. . <br /> p <br /> iThermometer Used : aR ( nfra-red} Di ital (Probe) .. ... <br /> ................... <br /> . <br /> .�....� ... ....... <br /> ... <br /> , <br /> Samples, Intact [ Yes (See Clouseau) ... ... ....... .... ............. <br /> Anomalies. ®No <br /> __-- ----- <br /> ... ... ... ...... . <br /> Labeledby ..... ................ ........ . .. ..... ................. ...... .. . ..... . ... . .. <br /> ..... .. ...... ..... ....... <br /> ... ..... .... ...... <br /> ................... .... <br /> Labeling checked by ................. _ <br /> .......................................................... USH-72HR'..®NORMAL ... ............ ... <br /> Time, RUSH-24HR ❑RUSH-48HR ❑R <br /> Turn Around ❑ Encore �A <br /> Short-Hold Notification: ❑Ph ❑Wet Chem ❑Metals (Filter/Pres) ❑ <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> . <br /> ..... ............ ..........- <br /> .......... LEAVE No BLANK SPACES -USE NIA PH <br /> 1=racbon 1 ­73 <br /> VOM r <br /> 1 <br /> 1 <br /> Yl1WOYF+eld�ad a101.149DYI�h�� <br /> ' a�tLne Aasaer3ab� 9 rLj o-- V YOA <br /> R Fittaa:SoG8 kw G1, + S <br /> C'GH Clea►�>d HmFaa Gina <br /> oeia AGkwlar AGH-Aaeh�Gly Home !R faF)'BnaM <br /> MCkwC-LV <br /> * LNumber or YOA's w/Headspace present <br /> LOGGED BYIDATE• <br /> REVIEWED BYIDATE: <br /> wC..f ago=U• � <br /> 000003 <br />