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Alpha Analytical, Inc. <br /> . <br /> Phone: (775)355-1044 FAX:(775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client: 12116/2005 Date of Notice. 12!812005 10:02:05 <br /> Please take note of any NO check marks.It 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 6512007.0065-01 <br /> Project Manager: Gown Kowtha Client's Entail: gkowtha@stratusinc.net <br /> Client's Phone: (530)676-6001 Client's FAX: (530)676-6005 <br /> Work Order Number: STRO5120803 Date Received: 12/8/2005 Received by:Stephanie Sifuentes <br /> Chain of Custody(COQ llnformation <br /> Carrier name FedEx <br /> Chain of custody present? Yes ❑ No <br /> Custody seals intact on shippping container/cooler? Yes No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present <br /> Chain of custody signed when relinquished and received? Yes R ❑ 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 /> ternal Chain of Custody(COC) requested? Yes ❑ No <br /> ub Contract Lab Used : None © ❑ SEM Other(see comments) ❑ <br /> Sample Receipt Information <br /> Shipping container/cooler in goad condition? Yes R ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes R ❑ No <br /> Sample containers intact? Yes R ❑ No <br /> Sufficient sample volume for indicated test? Yes R ❑ No <br /> Sample Preservation and Hold Time H Information <br /> All samples received within holding time? Yes © ❑ No Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-61C)? Yes R ❑ No 4°C <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ ❑ No No VOA vials submitted R <br /> Sample labels checked for correct preservation? Yes R ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? 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 : Air/Tedlar. ASAP TAT,chain split due to different TATs <br />