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IQ <br /> Ljorrent <br /> ' - I LABORATORY, INC. 1 <br /> r <br /> ' Sample Receipt Exception Log <br /> ' + 1O 0p Received By <br /> u�l — <br /> o Date Received <br /> Client Name�!`�`x _Time Received <br /> Work order# (93 - <br /> ' Container Container <br /> /Time Tye # Preservative Comments <br /> Date <br /> /Time <br /> ID Sam le ID. Ye <br /> �1019b3 u)3Q SI-�• b 7-OFl _ <br /> ' � � W 3@Ilot-•i�•st — s <br /> —Bll µw3 t>%la• <br /> I <br /> I � <br /> I <br /> 3 <br /> I <br /> ' L ? Had Chilling Begun? �/No Sample Temp.____.----- <br /> 1rileTe Samples received on ice �Y N <br /> I <br /> Do the number of bottles agree'-with the COC? Ye Mo f f N mens <br /> ' - - Ye o im! NO Circle affected samples and submit'to PM <br /> Were samples received intact(No broken bottles,leaks, etc)? mediately <br /> ,�N�A If NO Circle affected samples above and submits to PM immediately <br /> ' Were custody seals intact(if applicable)? YesMo <br /> s Yeo /f NO Circle affected samples above and submitt to PM immediately <br /> Do Bottle(D's match COC ID's? Yes( <br /> No <br /> there bubbles greater than, in any VOA's for 8015/8260 analysis? Yes/No ff YES Circle affected samples above and <br /> ' submitt to pXf immediately <br /> Courier(Who) Overnight Mail(Waybill#) Torrent Pick-Up <br /> Walk-in ..+rrer•tlab com <br /> Was sample received through: <br /> 683 Sinclair Frontage Rd.,M11pltas,CA 9503.5 —d— <br /> —j <br /> t <br />