Laserfiche WebLink
KIFF tb <br /> SAMPLE RECEIPT CHECKLIST SRG#: <br /> Sample Receipt Initials/Date: 7Z, ()3l a Storage Time: I Sample Login Initials/Date; .5 n I z <br /> TAT: Standard F Rush El Split None I Method of Receipt: M Courier Over-the-counter Shipped <br /> Tem 'C 0•9 N/A �ThermlD!V—( JTime �2 �2X � Coolantpresent MYes No LL Water I F Temp Excursion <br /> For Shipments Only: Cooler Receipt Initials/Date/Time: Custody Seals Ej N/A Ej Intact D Broken <br /> Chain-of-Custody: Yes No Documented on COC Labels Discrepancies: <br /> Is COC resent? X Sample ID C <br /> Is COC signed by relin uisher? 14 Project ID <br /> Is COC dated by relin uisher? x Sample Date <br /> Is the sampler's name on the COC? k Sam le Time <br /> Are there analyses or hold for all samples? X Does COC match project histo N/A E Yes n No <br /> Samples: NIA jYesNo Comments: <br /> Are sam le custod seals intact? X <br /> Are sam le containers intact? <br /> Is preservation documented? <br /> In-house Analysis: NIA Yes No <br /> Are preservatives acceptable? <br /> Are samples within holding time? X <br /> Are sample container types correct? k <br /> Is there adequate sample volume? 1C <br /> Receipt Details: <br /> Matrix Container Type #of Containers <br /> CS Required: <br /> Proceed With Analysis: ❑ YES ❑ NO Init/Date: <br /> Client Communication: <br /> 00 <br /> 01old_edlsamprecllormslSample Receipt Checklist rev 070113.doc <br />