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'VEVuo <br /> i <br /> Sample Receipt 1 Client Notification Form <br /> Client Name: meEK, <br /> t <br /> SIERRA', Sierra Project Number: 9-tl <br /> LABORATORIES J <br /> Sierra Project Manager: <br /> Date I Time Samples Received: <br /> Method of Shipment: <br /> Custody Seals? ®`NIA [:J Intact F] Broken <br /> Samples Intact? v/ <br /> Properly Labelled? <br /> Appropriate Containers? ✓ <br /> Headspace in VOA vials? / <br /> Sarriples Chilled? (Cooler Temp. °C): ✓ <br /> i <br /> i Properly Preserved? (pH) <br /> Preservatives added (after receipt by Sierra): 0Aj - <br /> t <br /> *Sample Disposal Instructions: t•o,6 <br /> **Tum Around Time Requested: <br /> } <br /> Subcontractor Laboratories to be utilized: <br /> i <br /> Special Instructions: <br /> Other Anomalies: <br /> s <br /> E <br /> Date/Time Faxed to Client:' <br /> E <br /> Samples Logged in by: <br /> N Printed Name. <br /> If you have any questions, please refer to the Sierra Project Number referenced above. <br /> Samples are only retained for 30 days if marked for Lab Disposal. Other charges may apply for other disposal options. <br /> { '-Rush surcharges wilt be applied to Tum Around Times other than Normal,except by prior arrangement with Sierra Labs. <br /> I <br /> I 26052 MERIT CIRCLE, SUITE 105, LAGUNA HILLS, CALIFORNIA 92653 <br /> { TELEPHONE: (714)348-9389 FAX: (714)348-9115 <br /> � r <br />