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Client ARCADIS U.S. Inc <br />Login Number: 69888 <br />List Number: 1 <br />Creator: Mullen, Joan <br />Question <br />Radioactivity wasn't checked or is </ <br />survey meter. <br />The cooler's custody seal, if present, i <br />Sample custody seals, if present, are <br />The cooler or samples do not appear <br />tampered with. <br />Samples were received on ice. <br />Cooler Temperature is acceptable. <br />Cooler Temperature is recorded. <br />COC is present. <br />COC is filled out in ink and legible. <br />COC is filled out with all pertinent info <br />Is the Field Sampler's name present c <br />There are no discrepancies between I <br />Samples are received within Holding' <br />HTs) <br />Sample containers have legible label: <br />Containers are not broken or leaking. <br />Sample collection date/times are prov <br />Appropriate sample containers are us <br />Sample bottles are completely filled. <br />Sample Preservation Verified. <br />There is sufficient vol. for all requeste <br />MS/MSDs <br />Containers requiring zero headspace <br /><6mm (1/4"). <br />Multiphasic samples are not present. <br />Samples do not require splitting or co <br />Residual Chlorine Checked. <br />TestAmerica Pleasanton <br />Login Sample Receipt Checklist <br />background as measured by a <br />s intact. <br />intact. <br />to have been compromised or <br />ration. <br />COC? <br />containers received and the COC. <br />ne (excluding tests with immediate <br />analyses, incl. any requested <br />no headspace or bubble is <br />Answer <br />N/A <br />N/A <br />N/A <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />N/A <br />True <br />True <br />True <br />True <br />NIA <br />Page 26 of 27 <br />Job Number. 720-69888-1 <br />List Source: TestAmerica Pleasanton <br />Comment <br />1/2812016 <br />15 <br />UP_005981 <br />