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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: 7117102 Date of Notice: 719102 11:54:22 AM <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: 2007.00651USA 65 <br /> Project Manager: Gowri Kowtha Client's Phone (530)676-6002 Client's FAX (530)676-6005 <br /> Work Order Number: STRO2070964 Date Received:719102 Received by: Tracy Degiovanni <br /> Chain of Custody(COC) Information <br /> Carrier name: Golden State Overnight <br /> Chain of custody present? Yes ❑ No <br /> Custody seals intact on shippping containerlcoo*? Yes DVJ LJ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present �J <br /> Chain of custody signed when relinquished and received? Yes IV] ❑ No <br /> Chain of custody agrees with sample labels? Yes �3 ❑ Non-Compliant <br /> Internal Chain of Custody(COC)requested ? Yes ❑ W No <br /> Sub Contract Lab Used: None W ❑ SEM Other(see comments) <br /> Sample Receipt information <br /> . Shipping containerlcooler in good condition? Yes W1 ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes ❑ Non-Compliant <br /> Sample containers intact? Yes ❑ 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 V ❑ Non-Compliant <br /> Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes ❑ Non-Compliant 4°C <br /> Water-VOA vials have zero headspace? Yes ❑ ❑ Non-Compliant No VOA vials submitted ;e_i <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 ❑ No <br /> Are there client specific Project requirements? Yes ❑ h/J No If YES :see the Chain of Custody(CDC) <br /> Comments <br />