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in <br /> A <br /> Alpha Analytical, Inc. <br /> Phone (775)355-1044 FAX (775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client 6/24/2004 Date of Notice 6/16/200412 09 21 <br /> Please take note of any NO check marks If we receive no response concerning these items within 24 hours of the date of this notice,all of <br /> the samples will be analyzed as requested <br /> Client Name Stratus Environmental Project ID <br /> Project Manager Steve Carter Client's Phone (530)676-6008 Client's FAX (530)676-6005 <br /> Work Order Number STRO4061607 Date Received 6/16/2004 Received by Laura Long <br /> Chain of Custody(COC) Information <br /> Carrier name Alpha Emplovee <br /> Chain of custody present? Yes © ❑ No <br /> Custody seals intact on shippping container/cooler? Yes © ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present <br /> Chain of custody signed when relinquished and received ? Yes © ❑ No <br /> Chain of custody agrees with sample labels? Yes © ❑ No <br /> Sample ID noted by Client on COC? Yes R ❑ No <br /> Date and time of collection noted by Client on COC? Yes © ❑ No <br /> 9amplers's name noted on COC? Yes © ❑ No <br /> Internal Chain of Custody(COC) requested? Yes ❑ © No <br /> Sub Contract Lab Used None © ❑ SEM Other(see comments) ❑ <br /> Sample Receint Information <br /> Shipping container/cooler in good condition? Yes © ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes © ❑ No <br /> Sample containers intact? Yes © ❑ No <br /> Sufficient sample volume for indicated test? Yes ❑ No <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes © ❑ No <br /> Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes © ❑ No NA°C <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ ❑ No No VOA vials submitted 0 <br /> Sample labels checked for correct preservation? Yes © ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No NIA <br /> Analupcal Requirement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ © No <br /> Are there client specific Project requirements? Yes ❑ © No If YES see the Chain of Custody(COC) <br /> �omments <br />