Laserfiche WebLink
STL <br /> 'STL San Francisco <br /> :s Sample Receipt Checklist <br /> Submission #:2003- T - (� <br /> l <br /> Checklist completed by: (initials) I f} Date: �1 103 _ <br /> Courier name: ❑ STL San Francisco ❑ Client <br /> Not <br /> Custody seals intact on shipping containerisamples Yes . No Present--i.Z <br /> Chain of custody present? Yes�/No <br /> Chain of custody signed when relinquished and received? Yesy No <br /> Chain of custody agrees with sample labels? Yes IV No <br /> Samples in proper container/bottle? Yes—14 No <br /> Sam* contnin?rs intact7 Yes V No <br /> Sufficient sample volume for indicated test? Yes No <br /> All samples received within holding lime? Yes V No <br /> Container/Temp Blank temperature in compliance (40 C t 2)? Temp?'-,5 °C Yes /No <br /> Ice Present Yes ✓ No <br /> Water-VOA vials have zero headspace? No VOA viais submitted Yes V/ No <br /> (if bubble is present, refer to approximate bubble size and itemize in comments as S (small -O), M (medium — O)or L(large -- O) <br /> Water- pH acceptable upon receipt? ZI Yes ❑ No <br /> ❑ pH adjusted— Preservative used: ❑ HNO3 ❑ HCI ❑ H2SO4 ❑ NaOH ❑ZnOAc—Lot#(s) <br /> For any item check-listed "No", provided detail of discrepancy in comment section below: <br /> Comments: <br /> Project Management [Routing for instruction of indicated discrepancy(ies)] <br /> Project Manager: (initials) Date: 1 103 <br /> Client contacted: ❑ Yes ❑ No <br /> Summary of discussion: <br /> :�;brrective Action (per PM/Client): <br />