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STL'San Francisca <br /> i S ampleIrl Checklist <br /> Submission T'r,200 <br /> E <br /> Checklist i pletetl by DATE <br /> Cotiriar, S'TL SF Iic udir l—j Fedit UPS Other <br /> Lo n D ols _ Yes NO Comments <br /> I Cmtody seals Intact on shipping contarmerlsamples <br /> 2, Chain of custody present? <br /> Paae���A�6^Leat&L �-�- <br /> S Chain of custody signed y�hen rolrnqufshed and received? C <br /> 4 All samples cl-jocked when COC relinquished <br /> s Chairs of custody acgrecs Leith sample labels? <br /> 6 Samples in proper containerlbottle? <br /> a <br /> 7 Sample containers intact? <br /> Suffjclent,sample volume for indicated teat? <br /> 9 All samples received within holding dine? <br /> CoalerTernpiraturascom Ii►,ea Check <br /> Terripdrature Wank Raasiing_ CatsferSamplt:�om{��rotwo <br /> *3 "1 -Average <br /> i aswr for Etev�iect i errlperatvrrf Samples will Te > -Ccrintr e rls <br /> (" .1ce me ted (" Ing affi Ertl i I" <br /> E <br /> [� Samp 3r;boxes F' SZMPled kh}r te tee��i req <br /> vCA Sample InspectFOn <br /> smail"a y 24 Lla!qe <br /> S-arnpies with broken, <br /> Sfltsi3ilrs [] 0 0 mocked or le�klni cOntcrnets <br /> Aro bubbleF present In arly�'nt'thq,yo [— <br /> i <br /> vial'a;' � <br /> w F 1— <br /> Yes rJo 5amplus v.ith llnaac�Ep;iile a <br /> Water pH acceptable urn r'ecel�tr r- [_ <br /> Q pH adjusted- Ptesen!atteye used a Hr,10'3 0 HCJ 0 K SO,0 NaOH U ZnOL�kc-Lot;;M <br /> Cot?1i lentB <br /> I riaj:ct tlianac�ccnent ting#of Ir�structkon cif ins�itcated drscropancY(la�s} <br /> I roject Mara ger (snit€els),.... . onto <br /> Summary of discussion, <br /> Corrntive Acticn?PerpMlCl€�t3t) �•'»rx p,rt as <br />