Laserfiche WebLink
, ,_ «.�. �.�.:._.._......::...eb_..x-,�;:.a:., ,.,. .:.�..�a�..,��.."..... ��'� _.,.,.�.-.;:,____'<.�`';.,,,�...''�n_'.>�tidjx� ..�,,....�...:�a+�."..,a.::«�: m.�..;?:•.«�"".`.�.._..i�..a...w..»,�a�.�,&s., �a":�'.'�.�,. <br /> 'I-L <br /> STL San Francisco <br /> (• Sample Receipt Checklist <br /> S613mission #:2004- <br /> ��t e�'—list ct�cnpie, ,}: iniilaiaj v G 1�: /'P e 104 ; <br /> '1 t;6iurir?rname: Cf s'i'L Son iiran�cisc�k,ierst._____„„.„ <br /> teat <br /> t;us[s3d.r seats irrlacl on.shipping cei7tai;tel1sarnpiets `des NO present <br /> ' Chain of{--Ustw y presanr9 Yes <br /> ;lh<'Iin Of custcrly i0q_necl when r6llnqui hed and mxeiveO � o_ i <br /> Iragreed vrilla aeaTY3pIs lai5e35? 'feS ✓''� t+ie, <br /> v�F15?lea scFpropEt co€atairt4r.rcatTts? mo <br /> Sarnpir i^t,r�l..it�rr�l;;t rt? Yes ✓� No i <br /> Snt icient sample Valu ne fci'r inrli tod test? Yes No. <br /> -.7 _____W <br /> ' r?It'.sande ,rfc�;i�trd :i€tt3i~afcf�iiagtirsa ? t 'des No i <br /> p Caa;nr�lp dank tripealure;ra rl� } ( '£ l? '• �.:.wTrrip � Y �Jq,x #( <br /> �. ',ir_:a3 <, ¢ . �„ <br /> tent al r�asrre fora Gm(� tcc�rielted® 1cinaas8s M1totriofsgh fcL �trl€it`erfsh111 =3uT� stpl��lfr!taaI p € t <br /> a . k - 1 "s-MX 3 r ' <br /> x r r„„ <br /> s S "'Stgi :c X"'ff yrs <br /> ilrTltttc C AhC g Ice r1a�Lt re ei fl a;r tarElautls�a�npt 1 ®a we <br /> .a 4C�;2�S f !1 <br /> d. <br /> lie Water -VO Viafa i aVe,Zero n.Oad3paV? NTi VOA via€s submilted y z No— <br /> (IftPubble is presexit,refer 10 Upproxin;ate ti.;l7ble si�e.ailitit�aarri.ze in cornme hts 08'S,fsrhalf.-0)j1 (mr -,dllum- 0)or 1 (large- ) � <br /> r <br /> i <br /> Water-pli tacceptablo upon recelpt? 0 Yes 0 No <br /> 0 phi adjusted- Presenralive urad: d I NO-,.0 HU 0 HzSQA©t<.la6l`i®ZnOAc;-1 otIjsl <br /> For any iterax'chack-fisted "No",prmvitt�d detail,af-d screpancy tti r;om4it�ril�s�e�pri kaetq+r� <br /> r i <br /> Comments: <br /> i <br /> r <br /> Project 141iaiiagefnent [Routing fat ifttrUctiaili o indicated discre�artcy(ies)]` <br /> project mallagor: {initials} .€3at6: !�l� Cfiens i>onta't d: .0 Yes 0 ''Nb <br /> �tl[€4fr1�1�Clf di�cti'�sic;Ea: <br /> r - <br /> C;r€m-dive Actroii(per <br /> r - <br />