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2 STL <br /> STL San Francisco <br /> . Sample Receipt Checklist <br /> Submission #2004- 0 _>, <br /> ChGc r,5l compo eyed b� trrihaisi , }� Dat- ' 1 ?r <br /> C uri-r name C STL Sin Frarcm=a�r Client <br /> r Nvt <br /> CuSLwdy se.ls:r aacl on shippirg crr',�a ncr gairplesNo— <br /> Chain <br /> . r <br /> No FrES�i. <br /> Chain®f custrar prEs�;.'� Yes <br /> cliam of C.i% c)signed vAhen relmq mhed and reoewe l `res . ,` Pin <br /> Cham Of-Js qac;acrLes' .,K 5arnple lab,'s`% Ps tvc <br /> eorr�les ire prate, centainerobc,le) <br /> All Sar;fple�:recar ed within ticiding time? - a °�' Yes .. �4 <br /> p dank in carrlpltance (4`'C 2)7, Teen- C (es ✓� �`� <br /> Ice Prasent °res <br /> ':i21Lt '104 vials nave zero naadscacO NG'10A v,:ih srmrnll i"d <br /> (if bubcic is preseni re,*r to aricrox.riatr bub.)le s.ze and irenuze in ccmmeriis as S famed•sin3 - 0)or L(Iw,c�F <br /> iVa*or-pts acceptable upon receipt? Yes 0 No <br /> i;pH ad,)UBted- Freaer,a', e, usR�. Q F-iNC_0 HC"I Ci -„SO. 0 Na 0t, 0 irC)Ac-Lot"01 <br /> For any item check listed "No' provided detail of discrepancy in comment section E*,8io.v <br /> ,fir I,. a, J <br /> CatnrllentS `` �, d rL. wJ� 'r t�*a a —C I r r"�' 7 (rr' f 1 v J al ,t U �V <br /> JR <br /> � F <br /> Project Management [Routing for instruction of indicated dtscrepancy(ies)l <br /> P,—gest,.'Aanar c' �;�llf�a�s j_ Dais ? l04 <br /> t 14 i�€ C Y=5 © �4JQ <br /> �.Elfilr'I3 tY Of C.$ISC,USSiJC3 <br />� r✓� ��t�J� "7,e�W��l�fir'1Yi�.atGf�t� <br /> I <br />