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' Sample Receipt 1 Client Notification Form <br /> Client Name: C <br /> SYEIMA Sierra Project Number: 3 <br /> LABORATORIES <br /> Sierra Project Manager: <br /> Date/Time Samples Received: Z, <br /> tMethod of Shipment:__ UPS <br /> Custody Seals? NIA Intact Broken <br /> ' Samples Intact? <br />' Properly Labelled?_- <br /> Appropriate Containers?--Z — <br /> Neadspace in VOA vials?_, ,^e <br /> Samples Chilled?(Cooler Temp. °C): � <br /> Properly Preserved? (pH) _ <br /> Preservatives added(after receipt by Sierra): <br />' *Sample Disposal Instructions: <br /> Tura Around Time Requested: <br /> Subcontractor Laboratories to be utilized: <br />' Special Instructions: <br /> Other Anomalies: <br />' Date/Time Faxed to Client: <br />' Samples Logged in by: <br /> Printed Name. <br />' If 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 /> Mush surcharges will be applied to Tum Around Times other than Normal,except by prior arrangement with Sierra Labs. <br /> 2fi052 MERIT CIRCLE, SLJrrE 105, LAGUNA HILLS, CALIFORNIA 92653 <br />' TELEPHONE: (714) 348-9389 FAX: (714) 348--9115 <br />