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I, Ems= <br /> ISample Receipt Checklist STL San Francisco <br /> Submission #• 2402-�� - <br /> IChecklist completed by (Initials) Oate 102 <br /> Courier name ❑ STL San Francisco Xdient <br /> Not � <br /> Custody seals intact on shipping container/samples Yes No Present <br /> Chain of custody present? Yes ✓ No <br /> Chain of custody signed when relinquished and received? YesNo <br /> Chain of custody agrees with sample labels? Yes No <br /> ESamples in proper container/bottle? Yes No <br /> Sample containers intact? Yes�� No <br /> f Sufficient sample volume for indicated test? Yes No <br /> All samples received within holding time? I Yes No <br /> IContainerTremp Blank temperature in compliance (40 C±2)? Temp I �j°C Yes <br /> ater-VOA vials have zero headspace? No VOA vials submitted ✓ Yes No <br /> (if Nubble is present, refer to approximate bubble size and itemize in comments as S (small -O), M (medium - 0)or L (large- 0) <br /> I <br /> Water- pH acceptable upon receipt?XYes ❑ No <br /> I ❑ pH adjusted- Preservative used ❑ HNO3 ❑ HCl lO H2SO4 ❑ NaOH ❑ZnOAc <br /> For any item check-listed "No", provided detail of discrepancy in comment section below <br /> Comments, <br /> Project Management [Routing for instruction of indicated discrepancy(ies)] <br /> Project Manager (initials) Date 1 102 <br /> Client contacted ❑ Yes ❑ No <br /> Summary of discussion <br /> I <br />/ orrective Action (per PM/Client) <br /> I <br /> I <br /> I <br /> AP <br />