Laserfiche WebLink
91 L r� <br /> STL San Francisco <br /> _ Sample receipt Checklist <br /> Submission # 2003 <br /> Chockhst completed by (initials) Date 1 !03 <br /> Courier name © STL Sar, Francesco„,❑ Client r� � <br /> ��__ _r .,.. Not <br /> Custody seals Intac an shipping contain rl �mples Yes_. No Present <br /> Chain of custody present? Yes ' Ido <br /> Chain of custody signed when relinquished and rete€vec!7 Yes ✓ No <br /> Chair of Yustody agrees with samplo label87 Yes _----No <br /> Samples in proper contarncribottlO Yes leo <br /> Sample cvitainer5 inm ict? Yes No <br /> Sufficient sample voltimo for indi. .ated te9t? Yes— ,e o- <br /> Ail samples received vrithin Bolding time') Yes—le!"No <br /> ConteinerfTernp Blank lemperature in compliance{4'' Temp �`�t, Yes -,/ FO- <br /> Ice Present Yes --"No <br /> Wa=er-VOA vials have zero headbpace? No VOA vials submitted Yes�o� <br /> t <br /> lrf Nubble is present, rCfiar is approximate bubble 917e and itemize in comments as 5 (small-Q), M (medium- 0) or L (largo- 0) <br /> Water-pH acceptable upon receipt? es 0 No s <br /> -_ - -_0 pH adjusted-- Prescrvatfve used­® HNO3❑_HCI❑ HaSC-0!N801-1_0 ZnOAC=Lot#(S) <br /> For any item check-fisted "No" provided detail of discrepancy in comment section below <br /> Comments l <br /> r f <br /> i <br /> i <br /> Project Management [Routing for Instruction of indicated discrepancy(i s)] � <br /> Project Manager (tnitlals) pate* 1 103 � <br /> Client canUact>erd ❑ Yes ❑ No <br /> Summary of discussion ? <br /> s <br /> t <br /> Corrective Action(per PM/Client) <br /> t <br /> f <br />