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CHROMALA6, INC. <br /> Environmental Service(SDB) <br /> Sample Receipt Checklist <br /> Ilient Name HARDING LAWSON (SACRAMENTO) Date/Time Received 03/30/98 � f <br /> Reference/Submis 3901.3 1 9 03455 Received by � <br /> hecklzst completed by •�M ' Reviewed by9 <br /> Signature j Date /gym tials Date_ <br />�atrix � - �Ao Carrier name lent - C/L V1 a {d`Y/' <br /> - --- <br /> Not <br /> i.pping container/cooler in good condition'> Yes No Present <br /> Not <br /> Custody seals intact on shipping container/cooler? Yes No Present (� <br /> Not L� <br /> tstody seals intact on sample bottles? Yes No Present <br /> fh <br /> ain of custody present> Yes No <br /> ain of custody signed when relinquished and received' Yesy^ No <br /> Chain of custody agrees with sample labels? Yes _� No <br /> tmples in proper container/bottle? Yes Lf No <br /> Sample containers intact> Yesy No <br /> dent sample volume for indicated test"' Yes No <br /> All samples received within holding time> Yes No <br /> ntainer/Temp Blank temperature in compliances Temp J ` `' °C Yes f~� No <br /> Water - VOA vials have zero headspace" No VOA vials submitted Yes Z-�No <br /> ter - pH acceptable upon receipt's Adjusted? Checked b <br /> chemist for VOAs <br /> Any No and/or NA (not applicable) response must be detailed in the comments section below <br /> U-en--t-c-o-ntacted: ^^ Date contacted: person contacted: <br /> Intacted by Regarding: <br /> �mments: <br /> ®r. <br /> cove Action: <br />