Laserfiche WebLink
� f <br /> Sample Receipt 1 Client Notification Form <br /> Client Name: �t <br /> SIERRA Sierra Project Number <br /> LABORATORIES <br /> Sierra Project Manager: s <br /> Date 1 Time Samples Received: I*' 3 e 11D : 1�✓►'l <br /> Method of Shipment: S <br /> Custody Seals? [✓]IN/A E] Intact [] Broken <br /> Samples Intact? V- <br /> Properly Labelled? <br /> Appropriate Containers? <br /> Headspace in VOA vials? n r- <br /> Samples Chilled? (Cooler Temp. °C):_ 7- 2- -c- <br /> Properly <br /> CProperly Preserved?(pH) ✓ <br /> Preservatives added (after receipt by Sierra): <br /> • ' Sample Disposal Instructions: <br /> Turn Around Time Reque§ted: Al-c-1 <br /> Subcontractor Laboratories to be utilized: <br /> Special Instructions: <br /> _ Other Anomalies: <br /> Date!"I-ime Faxed to Client: <br /> Samples Logged in.by: <br /> Printed Name: --- <br /> It 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 will be applied to Turn Around Times c1her than Normal.except by prior arrangement with Sierra Labs. <br /> 26052 MERIT CIRCLE, SUITE 105, LAGUNA HILLS, CALIFORNIA 92653 <br /> TELEPHONE: (714) 348-9389 FAX: (714) 348-9115 <br />