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Client: Union Pacific Railroad <br />Login Number: 69606 <br />List Number: 1 <br />Creator: Mullen, Joan <br />Question <br />Radioactivity wasn't checked or is <br />meter. <br />The cooler's custody seal, if pres <br />Sample custody seals, if present, <br />The cooler or samples do not app <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 <br />Is the Field Sampler's name pres <br />There are no discrepancies betwe <br />Samples are received within Holdi <br />Sample containers have legible la <br />Containers are not broken or leaki <br />Sample collection date/times are <br />Appropriate sample containers are <br />Sample bottles are completely fille <br />Sample Preservation Verified. <br />There is sufficient vol. for all reque <br />MS/MSDs <br />Containers requiring zero headsp <br /><6mm (1/4"). <br />Multiphasic samples are not preset <br />Samples do not require splitting or <br />Residual Chlorine Checked. <br />TestAmerlca Pleasanton <br />Login Sample Receipt Checklist <br />ce have no headspace or bubble is True <br />it. True <br />compositing. True <br />N/A <br />Page 23 of 23 <br />Job Number: 720-69606-1 <br />List Source: TestAmerica Pleasanton <br />Comment <br />11 <br />1/19/2016 <br />U P_006081 <br />Answer <br /></= background as measured by a survey <br />N/A <br />it, is intact. <br />N/A <br />ire intact. <br />N/A <br />ar to have been compromised or <br />True <br />True <br />True <br />True <br />True <br />True <br />,iformation. <br />True <br />it on COC? <br />True <br />m the containers received and the COC. <br />True <br />ig Time. <br />True <br />els. <br />True <br />rg. <br />True <br />rovided. <br />True <br />used. <br />True <br />J. <br />True <br />N/A <br />3ted analyses, incl. any requested <br />True <br />ce have no headspace or bubble is True <br />it. True <br />compositing. True <br />N/A <br />Page 23 of 23 <br />Job Number: 720-69606-1 <br />List Source: TestAmerica Pleasanton <br />Comment <br />11 <br />1/19/2016 <br />U P_006081 <br />