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r <br /> ENTHALPY <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Section 1 <br /> Client: F6 1- Project: Z`i f 4- <br /> Date Received: Sampler's Name Present Ye No <br /> Sample(s) received in a cooler? Yes How many? No(skip section 2) Sample Temp(°C): <br /> Sample Temp(°C)from each cooler: #1:���#2: #3: #4: <br /> (Acceptance range is 0 to 6°C or,for samples collected the same day as sample receipt,arrival on ice;For Microbiology sample 0 to 10°C or,for samples <br /> collected the some day as sample receipt,arrival on ice) <br /> Shipping Information: <br /> Section 2 <br /> Was the cooler packed with: x Ice Ice Packs Bubble Wrap _Styrofoam <br /> Paper None Other <br /> Cooler Temp (°C): #1: #2: #3: #4: <br /> Section 3 YES NO N/A <br /> Was a COC received? X <br /> Are sample IDs present? <br /> Are sampling dates &times present? <br /> Is a relinquished signature present? <br /> Are the tests required clearly indicated on the COC? X <br /> Are custody seals present? <br /> If custody seals are present, were they intact? >( <br /> Are all samples sealed in plastic bags? Recommended for Microbiology samples) �{ <br /> Did all samples arrive intact? If no, indicate in Section 4 below. k <br /> Did all bottle labels agree with COC?(ID,dates and times) <br /> Were the samples collected in the correct containers for the required tests? <br /> Are the containers labeled with the correct preservatives? <br /> Is there headspace in the VOA vials greater than 5-6 mm in diameter? X <br /> Was a sufficient amount of sample submitted for the requested tests? <br /> Section 4 <br /> Explanations/Comments: <br /> Section 5 <br /> For discrepancies, how was the Project Manager notified? Verbal PM Initials: Date/Time <br /> Email (email sent to/on): / <br /> Project Manager's response: <br /> Completed By: = _Date: <br /> Enthalpy Analytical,a subsidiary of Montrose Environmental Group,Inc. <br /> 931 W.Barkley Ave,Orange,CA 92868•T:(714)771-6900•F:(714)538-1209 <br /> www.enthalpy.com/socal <br /> Sample Acceptance Checklist—Rev 2.4,2/2/2017 <br />