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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: 11/4/2005 Date of Notice: 11/4/2005 9:52:52 A <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: Gowrl Kowtha Client's EMail: gkowthai@stratusinc.net <br /> Client's Phone: (530)676-6001 Client's FAX: (530)676-6005 <br /> Work Order Number: STRO5110403 Date Received: 11/4/2005 Received by: Stephanie Sifuentes <br /> Chain of Custody COC Information <br /> Carrier name FedEx <br /> Chain of custody present? Yes 0 ❑ No <br /> Custody seals intact on shippping container/cooler? Yes d❑ ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present <br /> Chain of custody signed when relinquished and received? Yes 9 ❑ No <br /> Chain of custody agrees with sample labels? Yes W ❑ No <br /> Sample ID noted by Client on COC? Yes 0 ❑ No <br /> Date and time of collection noted by Client on COC? Yes 0 ❑ No <br /> Samplers's name noted on COC? Yes 0 ❑ No <br /> 0ternal Chain of Custody(COC)requested? Yes ❑ R] No <br /> Sub Contract Lab Used : None ❑ 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 9 ❑ No <br /> Sample containers intact? Yes V ❑ No <br /> Sufficient sample volume for indicated test? Yes 0 ❑ No <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes © ❑ No Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes © ❑ No 4.0 <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ ❑ No No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes © ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No NIA <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. Chain split due to different TAT's on chain. ASAP TAT <br />