Laserfiche WebLink
STL <br /> . STL San Francisca <br /> Sample Receipt Checklist <br /> Submission #:2003 C7_ (C) 55 <br /> Checklist completed by (initials) -TL— Date I 1 1 -5`103 <br /> Courier name 0 STI_San Francisco ❑ ChentNot <br /> Custody seals intact on shipping conta[nerfsamples Yes No Present <br /> Cham of custody present? Yes fNNo <br /> Chain of custody signed when relinquished and received? Yes ✓ NO <br /> Chain of custody agrees with sample labels? Yes No <br /> Samples in proper contatnerlbottle? Yes No <br /> Sample containers intact? Yes // Na <br /> Sufficient sample volume for indicated test? Yes,/Na <br /> All samples received tivithin holding tsme0 Yes / No <br /> ContainerfTemp Blank temperature in compliance (40 C±2)7 Te mp r C Yes,,,-, No <br /> tee Present Yes 10 <br /> Water•VOA vials have zero headspace? No VOA vials i ubrnitted Yes—Z/ No <br /> uhf bubble is present, refer to approximate bubble sjze and itemize in comments as S (small-Q),lill (medium- O) or L,(large- 01 <br /> Water pH acceptable upon receipt? As ❑ No € <br /> Q pH adjusted- Preservative used 17 HNCs 13 HCl l:1 H2SO4 0 NaOH O ZnOAc-Lot#(s) i <br /> For any item check-listed "Ho",provided detail of discrepancy in comment section below <br /> Comments <br /> 4 <br /> Project Management [Routing for instruction of indicated discrepan y(ies)] <br /> Project Manager (initials) Date 1 103 � <br /> Client contacted Q Yes © No <br /> Summary of dtscusston <br /> Corrective Action(per PMIClient) <br />