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Alpha Analytical, Inc. Phone: (775)355-1044 FAX :(775)355-0406 Sample Receipt Checklist Date Report is due to Client: 5/12/2005 Date of Notice: 5/12/20059,47:30A 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 the samples will be analyzed as requested. Client Name: Stratus Environmental Project ID : 2007-0065-01/USA 65 Project Manager: Gowri Kowtha Ciient's EMail: gkowtha@stratusinc.net Client's Phone: (530) 676-6002 Client's FAX: (530)676-6005 Work Order Number: STR05051201 Date Received: 511212005 Received by:Stacy Marie Strock Chain of Custody(COC) Information Carrier name: FedEx Chain of custody present? Yes 'V No Custody seals intact on shippping container/cooler? Yes 1./I i 1 No Not Present . Custody seals intact on sample bottles? Yes r.1 ! i No Not Present VW Chain of custody signed when relinquished and received ? Yes No Chain of custody agrees with sample labels? Yes No Sample ID noted by Client on COC? Yes I. No Date and time of collection noted by Client on COC? Yes No Samplers's name noted on COC? Yes No &ternal Chain of Custody(COC)requested? Yes No Sub Contract Lab Used : None SEM Other(see comments) ❑ Sample Receipt Information Shipping containerlcooler in good condition? Yes 1-1/1 1-1 No Not Present ❑ Samples in proper container/bottle? Yes ILI] 1-1 No Sample containers intact? Yes n 1 No Sufficient sample volume for indicated test? Yes ill No Sample Preservation and Hold Time(HT)Information All samples received within holding time? Yes No Cooler Temperature ContainerFFemp Blank temperature in compliance(0-6°C)? Yes No NA IC Water-VOA vials have zero headspace I no bubbles? Yes No No VOA vials submitted Sample labels checked for correct preservation? Yes No TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes No NIA Analytical_Requirement Information Are non-Standard or Modified methods requested? Yes F I !v'i No Are there client specific Project requirements? Yes No If YES:see the Chain of Custody(COC) Comments : Sampling times not provided on chain,taken off of tedlars.