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STL <br />CLIENT <br />LOTI (QUANTIMS ID) <br />DATE RECEIVED 3--7 <br />DELIVERED BY ❑ FED <br />❑ AIRB RINE <br />❑ UPS <br />❑ STL C URIER <br />❑ OTHER <br />CUSTODY SEAL STATUS ❑ INTACT <br />CUSTODY SEAL #(S) <br />LOT RECEIPT CHECKLIST <br />STS Sacramento <br />PM PP LOG f 0 il9,o <br />QUOTE) Lkg M <br />TIME RECEIVED floss <br />❑ CA OVERNIGHT Q3ZLIENT <br />❑ GOLDENSTATE ❑ DHL <br />❑ BAX GLOBAL ❑ GO-GETTERS <br />❑ COURIERS ON DEMAND <br />❑ BROKEN 2 N/A <br />SHIPPPING CONTAINER(S) ❑ STL ❑ CLIENT 'ON/A <br />TEMPERTURE RECORD (IN °C) IR 1 E 3 ❑ OTHER <br />COC I(S) <br />TEMPERATURE BLANK + ,a <br />SAMPLE TEMPERATURE 1LcC, <br />COLLECTOR'S NAME: ❑ Verified from COC (Not on COC <br />pH MEASURED ❑ YES ❑ ANOMALY PN/A <br />LABELEDBY ......................... ................................................ I................ <br />LABELS CHECKED BY................:......................................................... <br />PEER REVIEW 1 tIA <br />SHORT HOLD TEST NOTIFICA <br />❑ METALS NOTIFIED OF FIL <br />SAMPLE RECEIVING <br />WETCHEM N/A <br />VOA -ENCORES NIA <br />VIA VERBAL & EMAIL -ff NIA <br />LOCATION W 1sA <br />Initials Date <br />COMPLETE SHIPMENT RECEIVED IN GOOD CONDITION WITH ❑ N/A <br />APPROPRIATE TEMPERATURES, CONTAINERS, PRESERVATIVES <br />❑ Clouseau ❑ TEMPERATURE EXCEEDED (2 °C - 6 °C)-' VN/A <br />❑ WET ICE ❑ BLE ICE ❑ GEL PACK [-]NO COOLING AGENTS USED <br />Notes: <br />`1 Acceptable temperature range fot State of Wisconsin samples Is <11T. <br />0-c— 5 -17 -0•, -- <br />❑ PM N04FIED <br />G5C07021AAVE NO SPACES BLANK. USE `WA" IF NOT APPYL Sacrainentol �t AST ALL "N/A" ENTRIES. QA185 6/04 EM <br />I 6 of 67 <br />