Laserfiche WebLink
9a larvae <br /> vlrivrrmrervfarl <br /> • ralboratorles, Inc. WORK ORDER #: 02-[0 [0 - © ® [M F2-1 <br /> Cooler �` of <br /> SAMPLE RECEIPT FORM <br /> CLIENT. - F-j - DATE: NOV . 4� 7-00Z» <br /> TEMPERATURE — SAMPLES RECEIVED BY: <br /> CALSCIENCE COURIER: LABORATORY (Other than Calscience Courier) <br /> Chilled, cooler with temperature blank provided 2 °C Temperature blank <br /> Chilled, cooler without temperature blank °C IR thermometer ' <br /> Chilled and placed in cooler with wet ice Ambient temperature <br /> Ambient and placed in cooler with wet ice <br /> Ambient temperature j <br /> °C Temperature blank Initial <br /> CUSTODY SEAL INTACT. / <br /> ample(s) Cooler ✓ No (Not Intact) Not Applicable (NIA) <br /> Initial N <br /> SAMPLE CONDITION: <br /> Yes No NIA <br /> Chain-Of-Custody document(s) received with samples <br /> Sample container label(s) consistent with custody papers <br /> Sample container(s) intact and good condition �^ <br /> Correct containers for analyses requested <br /> Proper preservation noted on sample label(s) �— <br /> VOA vial(s) free of headspace <br /> Tedlar bag(s) free of condensation `-" V7Z <br /> Initial <br /> COMMENTS. <br />