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STL <br /> STL San Francisco <br /> E' <br /> Sample Receipt Checklist <br /> 11pubmission # 2005- 1 <br /> Checklist completed by (initials) =)��l Date r I i� 105 <br /> Courier name TL San Francisco ❑ Client <br /> �/ �' Not <br /> Custody seals intact on shipping container/samples Yes No Present / <br /> Chain of custody present? Yes / No <br /> Chain of custody signed when relinquished and received? Yes-,�No <br /> A <br /> Chain of custody agrees with sample labels? Yes No ► <br /> Samples in proper container/bottle? Yes e/rNo <br /> Sample containers intact' Yes No <br /> Sufficient sample volume for indicated test? Yes �No <br /> All samples received within holding time? Yes No <br /> me +J"°� "!S "i-' "`ro' •+ar.c'? 'q e» x ,.�Q�t erlT ��� r�k t � <br />� el <br /> i;ri. o <br /> $ <br /> arilt?d<4t3� <br /> P <br /> � � 'S# > ��"� �' -�, F- . �=r-� � 'k •P�,'4 3F- �.: � 3`�' g -p��}';6.- '�f'bs.' 7 <br /> 7 <br /> o- <br /> 0a'ter <br /> VOA vials have zero headspace? No VOA vials submitted Yes /� No <br /> (if bubble is present, refer to approximate bubble size and itemize in comments as 5 (small --O) M (medium - O) or L (large-- O) <br /> Water pH acceptable upon receipt? ❑Yes ❑ No <br /> ❑ pH adjusted- Preservative used ❑ HNO3❑ HCI ❑ H2SO4❑ NaOH ❑ZnOAc-Lot#(s) <br /> For any item check-listed "No", provided detail of discrepancy in comment section below <br /> comments- �r Ilk 0 <br /> P <br /> Project Management [Routing for Instruction of Indicated dlscrepancy(ies)] <br /> Project Manager (initials) Date 1 105 <br /> Client contacted ❑ Yes ❑ No <br /> Surninary of discussion <br /> Corrective Achori (per PM/Client) <br />