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STL <br /> • ST San Francisco <br /> Sample Receipt Checklist <br /> Su mission #:2004- 05 <br /> Che list completed by (nitials)Z�r Dale .5--/ X144 <br /> CoulUer name 0 STL Sen Francisco ❑C1ient_A i2 CC /`u i <br /> Not � <br /> CUs dy seals intact on shipping containerfsamples Yes No Present <br /> Cha of custody present? Yes Nn <br /> Cha of custody signed when reknqutshed and received? Yes ✓ No <br /> Cha of custody agrees with sample labels? Yes--/LNa <br /> Sa les in proper containerlbolile? Yes—j-_-No <br /> San le containers Intact? Yes_ / No <br /> Su[ eel sample volume for Indicated test? Yeses,_No <br /> All S tinples received within holding time? Yes-J--No <br /> Can ainecf>i emp Blank temperature In compliance(Ao G}2)? Temp )- °C Yes rf No <br /> ice Present Yes ZNa <br /> Wal r-VOA Wats have zero headspaca� No VOA vials submitted Yes ' � -ND <br /> • (dbi bble is present,refer to approximate bubble size and itemize in comments as S(small-Q) M(m8dnam- U)at L(large- V) <br /> War-pH acceptable upon recerpt? 13 Yes 0 No <br /> ❑p adjusted- Preservative used O HNOj❑HCl E3HzSO.❑N80H Q ZnOAc-Lot#(s) <br /> t <br /> For ny Item check-listed -No".provided detail of discrepancy in comment section below <br /> Co ments <br /> prc-ect Management [Routing for instruction of indicated dlscrepancy(les)] <br /> Pros ct Manager (InittBis) Date � frJ4 <br /> the it contacted ❑ Yes 11 No <br /> 5u mary of discussion <br /> Cor dive Action(par PWCllenl) <br /> • <br />