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'FReceived <br /> OS,ANGELES C• - 0 <br /> RECEIPT CHECKLIST Date <br /> ' <br /> Lot # % Z Quote # 7 y <br /> -r- Project <br /> ' me Dh <br /> byDatelTime Received ' �- �per'by ❑Client ❑Airborne [6Fed Ex ❑DHL ❑Ultra-Ex ❑Rey B <br /> "UPS []DES []Other <br /> Initial I Date <br /> ' Custody Seal Status [Intact 013roken ❑None <br /> tJ l-/9�1 <br /> -❑No Seal # <br /> Custody Seal #(s) <br /> Sample Container(s) ❑STL-LA CSclient ❑NIA' !!Temperature(s) ICOOLER/BLANK) in *C (CORRECTED TEMP) <br /> Thermometer Used . ZfIR (Infra-red) ❑Digital (Probe) <br /> .. ..* <br /> ' Samples ®Intact ❑Broken ❑Other <br /> Anomalies ❑No ❑Yes (See Clouseau) <br /> Labeled by - .. .. .. -, . . .. ... .. . . <br /> Labeling checked by . . • • . • ' <br /> •aa rarrrrarara raraar•rrraaraaarrraaaararrraarrraaaa•rrrrar rasa arr aaarraaura•aaa rrarara arraara+r••r••a•rr r, <br /> RUSH-48HR ❑RUSH-72HR NORMAL <br /> Turn Around Time•❑RUSH--24HR ❑ NIA <br /> Short-Hold No ❑Ph ❑Wet Chem []Metals (Filter/Pres) Encore ❑ <br /> Outside Analysts(es) (Test/Lab/Date Sent Out) . •, <br /> ' •••••+•••• LEAVE NO BLANK SPACES, NIA <br /> PH <br /> Fraction N!A <br /> VOAh r `3 <br /> 1 <br /> ' Aoea�+= Hyd.& iizso. lli�os driiHas Fids f�ttesa nrcn IR+as iO card <br /> kxa °*Ssdia°x id° P&roar Boom aF�me v vow <br /> CGI Ckar Glatt lar CGS clv Gist Baak AGl Ambo Glret J: AG8 Aaa>e Glace Hoak <br /> * Number of VOA's wl Headspace present <br /> REVIEWED BY/GATE G ZL r <br /> LOGGED BYIDATE �/ / � �• �---� <br /> m y-sapm w <br /> 1000003 <br />