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Fj <br /> CHROMALAB, INC. <br /> F@nviranmental Service(SOB) <br /> Sample Receipt Checklist <br /> F�lient Name : CONSTRUCTION TESTING & ENG. ate/Time Received: 04/09/98 <br /> rReference/Submis : 39234 1 9804155 'Received by: all,l <br /> 1. 3 q Reviewed by: <br /> Checklist completed by: <br /> Signature ate Initials pate <br /> FMatrix Carrier ame : fent C/L <br /> Not <br /> Shipping container/cooler in good condition? Yes No Present <br /> Not <br /> Custody seals intact on shipping container/cooler? Yes No Present <br /> Not <br /> . Custody seals intact on sample bottles? Yes No Present <br /> Chain of custody present? Yes No <br /> FChain of custody signed when relinquished and receiv d? Yes No <br /> ,.Chain of custody agrees with sample labels? Yes c/ No <br /> i,^Samples in proper container/bottle? Yes No <br /> Sample containers intact? Yes No <br /> C" <br /> 4 Sufficient sample volume for indicated test? Yes No <br /> All samples received within holding time? ` Q Yes No <br /> 'Container/Temp Blank temperature in compliance? Temp: C Yes �� No <br /> Water - VOA vials have zero headspace? No V0A vials submitted Yes No <br /> Water - pH acceptable upon receipt? Adjusted? Checked b <br /> chemist for <br /> Any No and/or NA (not applicable) response must be detailed in the comments section below. <br /> Client contacted: Date contacted:= Person contacted: rr-=-__�T-=..=__ <br /> Contacted by: Regarding: <br /> Comments: <br /> F. <br /> Corrective Action: <br /> F. <br /> F <br />