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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: 10/7/2005 Date of Notice: 10/7/2005 9:41:48 A <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: 2007-0065-1/USA 65 <br /> Project Manager: Gowri Kowtha Client's EMait: gkowtha@stratusinc.net <br /> Client's Phone: (530)676-6001 Client's FAX: (530) 676-6005 <br /> Work Order Number: STRO5100702 Date Received: 10/7/2005 Received by: Stephanie Sifuentes <br /> Chain of Custody(COC) Information <br /> Carrier name FedEx <br /> Chain of custody present? Yes R ❑ No <br /> Custody seals intact on shippping container/cooler? Yes R ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present R <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 R ❑ No <br /> Date and time of collection noted by Client on COC? Yes R ❑ No <br /> Samplers's name noted on COC? Yes R ❑ No <br /> Internal Chain of Custody(COC)requested? Yes ❑ 0 No <br /> Sub Contract Lab Used: None R ❑ SEM Other(see comments) ❑ <br /> Sample Receipt Information <br /> Shipping container/cooler in good condition? Yes ❑ ❑ 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 <br /> Cooler Temperature <br /> Container(Temp Blank temperature in compliance(0-6°C)? Yes © ❑ No Na-C <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes ❑ ❑ No No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes R ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No NIA <br /> Anal ical Re uirement 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. Chain split due to ASAP TAT <br /> k_ <br />