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i o Alpha Analytical, Inc. • Phone (775)355-1044 FAX (775)355-0406 Sample Receipt Checklist Date Report is due to Client 11/13/2003 Date of Notice 11/5/2003 11 44 22 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 the samples will be analyzed as requested Client Name Stratus Environmental Project ID IBC Stockton Project Manager Goren Kowtha Clients Phone (530)676-6002 Client's FAX (530)676-6005 Work Order Number STR03110544 Date Received 1115/2003 Received by Dolly S Baker Cham of Custody(COM Information Carrier name FedEx Chain of custody present? Yes U No Custody seals intact on shippping container/cooler? Yes � ❑ No Not Presen U Custody seals intact on sample bottles? Yes U U No Not Presen Chain of custody signed when relinquished and received? Yes R_ ❑ No Chain of custody agrees with sample labels? Yes F./--j U No Internal Chain of Custody(CDC)requested? Yes ❑ W/ No Sub Contract Lab Used None L U SEM Other(see comments) U Sample Receipt Information 41S hipping container/cooler in good condition? Yes o ❑ No Not Presen ❑ Samples in proper containeribottle? Yes Imo' L No Sample containers intact? Yes rV-j U No Sufficient sample volume for indicated test? Yes U ❑ No Sample Preservation and Hold Time HT Information All samples received within holding tune? Yes Cl ❑ No _ Cooler Temperature Container/Temp Blank temperature in compliance(0-6'C)? Yes U U No 4°C Water-VOA vials have zero headspace I no bubbles? Yes L:1 No No VOA vials submitted ❑ TOC Water-pH acceptable upon receipt ? Yes U U No NIA TOC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested? Yes ❑ W No Are there client specific Project requirements? Yes No If YES see the Chain of Custody(COC) Comments