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J ENVIRONMENTAL TESTING SERVICES <br />[ L. <br /> SAMPLE RECEIPT CHECKLIST <br /> i <br /> a <br /> j Client Name: - <br /> i fob Number: Received by: Date/Time: <br /> Stored in: Checklist by: Date/Time: �' <br /> `o c; C; <br /> a <br /> Matrix: � Log--in by: Date/Time: <br /> Items of Concern Yes No N/A Comments <br /> Client Delivered <br /> Samples ShippedBy: <br /> Courier Delivered By: <br /> COC Seals used Shipping Container Sample Containers <br /> COC Present <br /> COC Accurate <br /> f <br /> e <br /> Samples Intact <br /> r <br /> Correct Containers <br /> Adequate Sample Volume <br /> { Samples Chilled (2-6°C) j6e w/o cooler w/o ice <br /> .. � Sample pH taken acceptable <br /> No Headspace in WAS Ty b",le-9 <br /> Holding Times Acceptable { <br /> 1 <br /> Client Knows of Problems Routine Telephone <br /> Additional <br /> Comments : <br /> i <br /> /u/watt/togs_n fortes/saw rec.fors 10/22/96 Core Laboratories.Inc. t <br /> 1250 East Gene;uiry .way. anaheim.Calitorn a 92505.(7.4)937-1094.(800)404-CORE.Fax(714)937-1170 <br />