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CHRQMALAB, INC. <br /> Environmental Service(SDS) <br /> Sample Receipt Checklist <br /> Tient Name : CONSTRUCTION TESTING & ENG. ate/Time Received : 05/14/98 IrZ; ZG <br /> Reference/Submis : 39858 1 9805220 Received by: / <br /> F�,r <br /> vhecklist completed by: � e�] L Reviewed by <br /> Signature Date Initials Date <br /> Matrix: alg& Carrier hameient C/L <br /> Not <br /> hipping container/cooler in good condition? Yes �No Present <br /> t • Not <br /> Custody seals intact on shipping container/cooler? Yes �� No Present <br /> Not <br /> Fustody seals intact on sample bottles? Yes No Present <br /> hain of custody present? Yes No <br /> hain of custody signed when relinquished and receivea? Yes No <br /> Chain of custody agrees with sample labels? Yes No <br /> F.3 amples in proper container/bottle? Yes L� No <br /> Sample containers intact? Yes _ No <br /> F;ufficient sample volume for indicated test? Yes No <br /> All samples received within holding time? Yes G� No <br /> 'ontainer/Temp Blank temperature in compliance? Temp °C Yes �� No <br /> r <br /> Water - VOA vials have zero headspace? No VOA vials submitted Y No <br /> 'Pater - pH acceptable upon receipt? Adjus ed? Checked b <br /> the or VOAs <br /> Any No and/or NA (not applicable) response must be de ailed in the comments section below. <br /> Llient contacted: -Date contacted:- Person contacted: <br />'7 <br /> T:ontacted by: Regarding: <br /> !omments: <br /> A� <br /> i' <br /> ^ Corrective Action: <br />)� <br />� <br />