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_ <br /> STL <br /> STL San Francisco <br /> Sample Receipt Checklist <br /> Submission ##:2004- � _ C <br /> j <br /> Checklist completed by. (initials) kl$�L date: 05 I _�_IO4 <br /> Courier name, 0 STL Sarr F adb-.L3 Client <br /> Custody seals intact a shipping conjAiderlsomples i Y; s. Na- NPreser�t" <br /> Chain of custody present? ,Cesr:No <br /> Chaln of custody signed when relinquished-and received? Yes No <br /> Chain of custody agrees v+r`O sample labels? � Yes ;c/ Nisi <br /> Samples in proper containerlbottie? <br /> Sample containers Intact? i Yes .Nc; <br /> Sufficient sample volume for indicaled test? <br /> All samples received within holding time? i Yes: 1."No: . <br /> ContainerfTemp Blank temperature in compliance (40 C "�2)? Tomis'OM1~°C yes�No <br /> Ite•Phoerrt Yes. <br /> Water-VOA vials have"zero headspace? No VOA vials submitted Yes No <br /> t ---� <br /> i <br /> ' (if bubble is present, refer to approximate bubble size and-it>rmize in commerits )pr L(r ig . . } <br /> l <br /> ( a <br /> tAleEer-pH acceptable upon receipt? D Yes D No <br /> 0 pH adjusted— Preservative used; D HNO3 ❑ HCl Q H2SO4 Q N;ROH 0 ZnOAc--Lot#i(s) ! -- <br /> For any item check-listed "No", provided detail of discrepancy in.cor3nmbrit section�below.i <br /> Comments: �. <br /> Project Management [Routing for instruction 'Of indicated discrepan iy,(ksfl <br /> Project Manager: (initials) gale: 1 104 <br /> Client contacted, © Yes © No <br /> i <br /> Summary of discussion: <br /> l <br /> K <br /> f <br /> Cweetive Action(per PlAfGllent): <br /> i <br /> • j <br />