Laserfiche WebLink
KI FF O <br /> Anawtical uc SAMPLE RECEIPT CHECKLIST sRG#: � <br /> Sample Recei t Initials/Date: (60,&7; Stora a Time: Sample Login Initials/Date: o 2e <br /> TAT: Standard Rush Slit None I Method Courier <br /> Over-the-counter Shipped„f Receipt: <br /> Tem °C ?/ N/A Therm ID Time Coolant Dresent f Xyes No Water Temp Excursion <br /> For Shipments Only: Cooler Receipt Initials/Date/Time: 1 Custody Seals 0 N/A Intact Ej Broken <br /> Chain-of-Custody: Yes No Documented on COC Labels iscre anti” : <br /> .9- C, <br /> Is COC resent? Sample ID - z <br /> Is COC signed by relin uisher? Project ID <br /> rur o-i c dz�r <br /> Is COC dated by relin uisher? Sample Date <br /> Is the sampler's name on the COC? Sample Time <br /> Are there analyses or hold for all samples? Does COC match project history? N/A Yes No <br /> Samples: N/A Yes No Comments: <br /> Are sample custody seals intact? <br /> Are sample containers intact? <br /> Is preservation documented? <br /> In-house Analysis: N/A Yes No <br /> Are preservatives acceptable? <br /> Are samples within holding time? <br /> Are sample container types correct? <br /> Is there adequate sample volume? <br /> Receipt Details: <br /> trix Container TVDe #of Containers <br /> LA) CS Required: <br /> CD Proceed With Analysis: ® YES ❑ NO Init/Date: V j ! p$z f 3 <br /> o Client Communication: <br /> N <br /> O <br />