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Alpha Analytical, Inc. <br /> . Phone (775)355-1044 FAX (775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client 913102 Date of Notice 8123102 2 13 47 PM <br /> Please take note of any Non-Compliant check marks If we receive no response concerning these items within 24 hours of the date of this <br /> notice, all of the samples will be analyzed as requested <br /> Client Name Stratus Environmental Project ID 2002 1426-071 IBC <br /> Project Manager Jay Johnson Clients Phone (530) 676-6000 Client s FAX (530) 676-6005 <br /> Work Order Number 5TRO2082325 Date Received 8123102 Received by Graciela Navarrete <br /> Chain of Custody(COC) Information <br /> Carrier name Golden State Overnight <br /> Chain of custody present? Yes N❑ ❑ No <br /> Custody seals intact on shippping container/cooler? Yes ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes h ❑ No Not Present Lr <br /> Chain of custody signed when relinquished and received ? Yes hZ ❑ No <br /> Chain of custody agrees with sample labels? Yes �31 ❑ Non-Compliant <br /> Internal Chain of Custody(COC)requested? Yes ❑ ® No <br /> Sub Contract Lab Used None ❑ SEM Other(see comments) ❑ <br /> Sample Receipt Information <br /> .Shipping container/cooler in good condition? Yes S6 U No Not Present ❑ <br /> Samples in proper container/bottle? Yes V ❑ Non-Compliant <br /> Sample containers intact? Yes W-1 h] No <br /> Sufficient sample volume for indicated test? Yes ❑✓ ❑ No <br /> Sample Preservation and Hold Time(HT) Information <br /> All samples received within holding time? Yes FVJ ❑ Non-Compliant <br /> Coater Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes R ❑ Non-Compliant 4°C <br /> Water-VOA vials have zero headspace? Yes Non-Compliant No VOA vials submitted <br /> TOC Water-pH acceptable upon receipt? Yes ❑ ❑ No NIA <br /> TOC Samples should have a pH<2(H2SO4) <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested ? Yes ❑ R No <br /> Are there client specific Project requirements? Yes ❑ 6 No If YES see the Chain of Custody(COC) <br /> Comments <br />