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a <br /> 'Alpha Analytical, Inc. <br /> Phone:(775)355-1044 FAX:(775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client: 812712003 Date of Notice: 8119/2003 9:29:49 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 : USA 6512007.0065 <br /> :g <br /> Project Manager: Gown Kowtha Cfierit's Phone (530)676-6002 Client's FAX (530)676-6005 <br /> :k <br /> Work Order Number STR03081902 Date'Received:811912003 Received by: Heidi Eskew <br /> Chain of Custody COC fnformation <br /> Carrier name FedEx <br /> Chain of custody present? Yes '�A ❑ No <br /> Custody seals intact on shippping containerlcooler? T Yes No Not Presen <br /> Custody seats intact on sample bottles? Yes n ; ❑ No A Not Presen I1 <br /> Chain of custody signed when relinquished and received? Yes No <br /> Chain of custody agrees with sampfe labels? Yes � No <br /> Internal Chain of Custody(COC)requested? a Yes I__1 6/1 No <br /> Sub Contract Lab Used: None FA <br /> SEM Other(see comments) 1-7 <br /> sample receipt Information <br /> t <br /> Shipping container/cooler in gaol condition? Yes i� No Not Presen <br /> i` amples in proper container/bottle? t Yes I�� n No <br /> +I± Sample containers intact? - - Yes L._I No . <br /> t Sufficient sample volume for indicated test? Yes [J� ❑ No <br /> Sample Preservation and Hold Time fHT]Information <br /> All samples received within holding time? -i. Yes I� No <br /> Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes '�i F.] No 40C <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes T1 [1 No No VOA vials submitted N <br /> TQC Water-pH acceptable upon receipt? Yes. 7 No NIA i'✓I <br /> TOC Samples should have a pH<2(H2SO4) <br /> j <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested? Yes D 'r!� No <br /> Are there client specific Project requirements? Yes No If YES:seethe Chain of Custody(COG) <br /> Comments: <br /> i <br /> i e <br /> s <br /> h <br /> _1 <br /> 1 1 <br /> i <br />