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LA\ <br /> ASSOCIATED LABORAT'OdrIE,S <br /> 806 North Batavia—Orange, California 92868— 714-771-6900 FAX 714-538-1209 <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Section 1 <br /> Client: Trmevto Project: <br /> Date Received: Sainpler's Najne:� No <br /> Sample(s)received in cooler: No(Skip Section 2) <br /> Shippilig Information: <br /> Section 2 <br /> Was the cooler packed with: />�C Ice Ice Packs _Bubble Wrap _Styrofoam <br /> Paver None _Other <br /> Cooler or box temperature: <br /> (Acceptance range is 2 to 6 Deg. C.) <br /> Section 3 YES NO N/A <br /> Was a COC received? <br /> Is it properly completed? IDs, sampling date and time, signature,test <br /> Were custody seals resent? <br /> If Yes—were they intact? ' <br /> Were all samples sealed in plastic bags? <br /> Did all samples arrive intact? If no,indicate below. <br /> Did all bottle labels agree with COC? ID,dates and times <br /> Were correct containers used for the tests required? <br /> Was a sufficient amount of sample sent for tests indicated? <br /> Was there heads ace in VOA vials? <br /> Were the containers labeled with correctpreservatives? <br /> Was total residual chlorine measured(Fish Bioassay samples only)? <br /> *: If the answer is no,please inform Fish Bioassay Dept. immediately. <br /> Section 4 <br /> Ex lanations/Comrnents <br /> Section 5 <br /> Was Project Manager notified of discr cies: / N N/A <br /> Completed By: " _ Date: 1 _ <br /> IOZ <br />