Laserfiche WebLink
Alpha Analytical, Inc. <br /> - <br /> Phone:(775)355-1044 FAX. (775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client: 12/16/2005 Date of Notice: 12/8/2005 10:16:30 <br /> 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 <br /> the samples will be analyzed as requested. <br /> Client Name: Stratus Environmental Project ID : USA 65/2007-0065-01 <br /> Project Manager: Gowrl Kowtha Client's EMail: gkowtha@stratusinc.net <br /> Client's Phone: (530)676-6001 Client's FAX: (530)876-6005 <br /> Work Order Number: STR05120804 Date Received: 12/8/2005 Received by: Stephanie Sifuentes <br /> Chain of Custody fCOC1 Information <br /> Carrier name FedEx <br /> Chain of custody present? Yes 0 ❑ No <br /> Custody seals intact on shippping container/cooler? Yes si9 ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present <br /> Chain of custody signed when relinquished and received? Yes © ❑ No <br /> Chain of custody agrees with sample labels? Yes ❑ No <br /> Sample ID noted by Client on COC? Yes ❑ No <br /> Date and time of collection noted by Client on COC? Yes ❑ ❑ No <br /> Samplers's name noted on COC? Yes ❑ ❑ No <br /> 0ernal 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 J❑ ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes ® ❑ No <br /> Sample containers intact? Yes © ❑ No <br /> Sufficient sample volume for indicated test? Yes v/ ❑ No <br /> Sample Preservation and Hold Time M Information <br /> All samples received within holding time? Yes © ❑ No Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes © ❑ No 4'C <br /> Water-VOA vials have zero headspace I no bubbles? Yes ❑ ❑ No No VOA vials submitted ❑�/ <br /> Sample labels checked for correct preservation? Yes © ❑ No <br /> TQC Water-pH acceptable upon receipt(H2SO4 pHa2)? Yes ❑ ❑ No N/A <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ ❑ No <br /> Are there client specific Project requirements? Yes ❑ ❑ No If YES:see the Chain of Custody(COC) <br /> Comments: Airs/Tedlars,chain split due to different TATs <br />