Laserfiche WebLink
Sample Receipt 1 Client Notification Form <br /> - Client Name '4 H <br /> SIERRA Sierra Project Number 6 Z O L( 0\ <br /> t.nsonaToxEs <br /> Serra Project Manager <br /> Date I Time Samples Received <br /> Method of Shipment <br /> Custody Seals? NIA Intact Broken <br /> Samples Intact? <br /> Properly Labelled? 1/ <br /> Appropriate Containers? <br /> Headspace in VOA vialsl 2 S o mac_ �}� (L gu6 L e—S <br /> Samples Chilled? (Cooler Temp °C) .5.2- <br /> Properly <br /> .2Properly Preserved?(PH) L <br /> Preservatives added(after receipt by Sierra) <br /> *Sample Disposal Instructions <br /> **Turn 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 C'42z�—� <br /> If you have any questions, please refer to the Sierra Pr ject 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 other than Normal except by prior arrangement wvdh Sierra Labs <br /> 26052 MERIT CIRCLE,SUB E 105, LAGUNA HILLS,CALIFORNIA 92653 <br /> TELEEPHONE- (714)348-9389 FAX, (714)348-9115 <br />