Laserfiche WebLink
FROM : Ground Zero Analysis PHONE NO. : 209 838 9883 Oct. 10 2003 10:05AM P17 <br /> y 10/A8/q� WF.A la:b ._FAR U6 � avz fvL r,,er ln�..rsu=,1,, N� p a <br /> Rvt isibn Date- 10/2"o <br /> Stockton,-. � jifni n~ JpQ Rec�ipt { t6dh,10 GOC) <br /> Sample Re6eipt a►t STT : <br /> 1. Nurnb6r of sCQ ch$st5/PAckaSes receivz'd: <br /> iectiv a Chi1le8 o6u&i on? 'f'em s: � oa 1. <br /> 2 ------ <br /> We're' sarnples ed'ix� was b' n foe,se lea rsrs v�d en <br /> Acc�pubia i abova frcctW�to 6°C. Note�ASI+(t+ir�td ou ica)_if zlu�ling � � � <br /> SA* !es tna:y Etc receivt3 R+itaiYt cap$t#'satriplcd,�vithisi orie hvvr of receipt <br /> 52=day of sarnphre p , :.: • ; <br /> umber of battles raceiv4d 4r 'vttit t tlle``C��� e No N/A.•• '• 3. Do the xl <br /> 1. <br /> 4. �Nere'sles kacaivcd inthot? (i-a,ho F,rokc t ottk:shems.etc-)- Yes No,, ' <br /> Were sample custody seals ituet?•- Yes., Ne. <br /> f put in the anie.i,ce phast, sazuples, <br /> . <br /> Sign,and date tk:e COG,place in a ziplock;a�d � , <br /> SsrriplB dceipt Resew completed by Qbitials): <br /> Sax�pliece� t at SP: <br /> 1. Wero 4f ples reoeived-in a tilled-oon&ti=) <br /> �mcptabte!t above ffMtri;to 6°C. guj,y paekagts ar¢Awivu3 u enc tixrte check far testsiii:T.'sfruabeaf9ecti't Ems. <br /> rrview, Plaaas-aotify Microbiology porsmit74T iaiuncdiktely of b*i aunytes raoeived-; <br /> Priv tize fuaar ; <br /> 2. no the ntltt ti oi-bottles received agree with the COC7 <br /> No N/.4 <br /> I Were samples received intact'::'{i.e,ho brol�e bottlegti'leaks etc.), No <br /> yes: -No.. <br /> 4. - W"aa•mple Custody calls ilat <br /> A <br /> Sim end date the COC,obtain Y1Y1S sample n=bets, select methods/tests and print labels\ <br /> c____p pr iacafi=,L, § anrt I),istrib utt>jo{s: <br /> I. were a11'requcatad analyses taaidqr�csd and ucWj&," <br /> r <br /> 2. ]Old bottle l seta corre$pand.V tNt'ha'clicnfs ID's?: 7!f <br /> ~ ca No <br /> 3. 'W`axe all bottles requi4ns sample praservatianproperly preserved? Yes No N � PCx <br /> 4. V4rere'all araLyses within hald.inS times at time-Ofi-eoeipt? es <br /> S. Have rush yr project dµe datei b*en.cllee�ed and.atxegted? ' yes--, No <br /> a do of the COC,fbr lab de�liv <br /> Attach-labels ta�tlic contain= ar�d`include p�. - . --• . <br /> 5anit�aa Rerecipt,Login and Verification cc plil by(initials): <br /> Aiscrepaucy Docume�a : r r esoived. <br /> ,Any items above ch tationaLe` <br /> .'No's dF dbi'riut rc'aeet sp'ecification� (i.e. tari�ps)must be tophotze Number_- <br /> ' <br /> eTsou.Coirtawhited' <br /> Tjiriakad$y Date: <br /> r.'- <br /> Raaalud6r.: <br /> Wo l*S <br /> STK0335847 <br /> • ' .. sg�,y-p9J25J2�3:0:,:19 $M <br /> rv:L,i ,CSS aumbf, LiC�G <br />