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F <br /> OS ANGELES R>ECE1PT CHECKLIST DateLot # � /Y _ Quote # <br /> me / ,T � �� ProjectbyDate/Time Receivedby ❑Client Airborne x ❑DHL ❑Ultra-Ex []Rey B <br /> ❑Ups FIDES Other <br /> Initial / Date <br /> Custody Seal Status•tS�fntact ❑Broken []None <br /> Custody Seal #(s) ❑No Seal # <br />' Sample Container(s) ❑STL-LA Client ❑NIA <br /> Temperature(s) ICOOLER/BLANK) in °C CT o G {CORRECTED 'TEMP! <br /> Thermometer Used . ®IR (Infra-red) ❑Digital (Probe) - <br /> Samples [Intact ❑Broken []Other - <br /> Anomalies ZNO []Yes (See Clouseau) - <br /> Labeled by Al– .� (... . ... . .. ... . .. . - <br /> c <br /> Labeling checked by ?4•& . .. <br /> ..................................... .............................. ...... ....... <br /> Turn Around Time ❑RUSH-24HR ❑RUSH-48HR ❑RUSH-72HR glVORMAL <br />' Short-Hold Notification ❑Ph ❑Wet Chem ❑Metals (Filter/Pres) []Encore /A <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) — /Lt&4'(-X <br /> r <br /> •••••••••• LEAVE NO BLANK SPACES, USE NIA •••""'•• <br /> Fraction ] ,j PH <br /> N/A <br />' VOAh /* <br /> Cl ����� <br /> mnaZme Aaum+sad�m+k7�dC x HIS04 ILHN 3 NfiJ1V07 Fuidfaraed arm FlZr03 03-Lab rilxrea <br /> h H <br /> CGJ CIM GLm Jar crjwClwr Giao Book AGJ Amba Giro Jar AGS Amba Clam Hw 1e PS P*Scale F-r. -e sampia V VOA <br /> * ~lumber of VOA's wl Headspace present <br /> LOGGED BYIDATE <br /> p2 REVIEWED BY/DATE: <br /> � 0 g <br /> /we V.r 0.1C20a.M <br /> nnnnn.3 <br />