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Z , �T S Alpha Analytical, Inc. Phone (775)355-1044 FAX (775)355-0406 Sample Receipt Checklist Hate Report is due to Client 12/3112003 Date of Notice 12!22!2003 11 22 50 Please take note of any NO check marks If we receive no response concerning these items within 24 hours of the elate of this notice, all of the samples will be analyzed as requested Client Name Stratus Environmental Project ID Joes Truck Stop Project Manager Steve Carter Client's Phone (530)676-6008 Client's FAX (530)676-6005 Work Order Number STRO3122243 Date Received 12120/2003 Received by Dally S Baker Chain of Custody(COC)information Carrier name FedEx Chain of custody present? Yes J ❑ No Custody seals intact on shippping container/cooler? Yes U ❑ No Not Presen ❑ Custody seals intact on sample bottles? Yes ❑ ❑ No Not Presen 0 Chain of custody signed when relinquished and received? Yes I ❑ No Chain of custody agrees with sample labels? Yes C ❑ No Internal Chain of Custody(COC)requested? Yes ❑ D No Sub Contract!_ab Used None IVZ ❑ SEM Other(see comments) ❑ Sample Receipt information Shipping container/cooler in good condition? Yes F ❑ No Not Presen ❑ Samples in proper container/bottle? Yes W No Sample containers intact? Yes ❑ U No Sufficient sample volume for indicated test? Yes . ❑ No Sample Preservation and Hold Time(HT) Information All samples received within holding time? Yes C ❑ No Cooler Temperature Container/Temp Blank temperature in compliance(0-6*C)? Yes ❑ No 40C Water-VOA vials have zero headspace I no bubbles? Yes 2 ❑ No No VOA vials submitted ❑ TOC Water-pit acceptable upon receipt? Yes ❑ ❑ No NIA TOC Samples should have a pH<2(H2SO4) Analytical Requirement_Information Are non-Standard or Modified methods requested ? Yes ❑ ❑d No Are there client specific Project requirements? Yes ❑ W/ No If YES seethe Cham of Custody(COG) Comments Samples received Saturday 12/20/03 samples kept cold&secure until log-in Monday 12/22/03 One VOA for MW-5 received broken