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SPL Fullerton Environmental Laboratory <br /> Sample Receiving Checkltst <br /> 9702110m <br /> SPL Wotkordet Numbet <br /> Date A3 1 uate <br /> Yes No NIA <br /> I Chain of Custody RCLoi d Pi esent) .� <br /> 2 Chain of Custody Record Pi opet ly ComplctLV / <br /> 3 Custody Seals on Slopping Containet9 <br /> 4 Custody Seals on Semple Contamer9 <br /> 5 All Custody Seals Intact'? <br /> 6 All Samples Received Intact? <br /> 7 All Samples Labeled Cotrectly'� i <br /> 8 Samples ate Chilled at 2°C - 6°C i <br /> * See Non-Conformance / Sample Condition Notification Form only if bo\ with "' " is checked <br /> Internal Tempciatwe of Shipping Container °C <br /> Samples Were Deliveted by <br /> SPL Cour ter <br /> Client Representative <br /> Federal Expiess 3 3 -5-- <br /> UPS UPS <br /> DHL <br /> Other <br /> All samples will be disposed 30 days fi om the i eport date for this workol der, unless <br /> otherwise specified by the client <br /> Samples Checked by <br /> I\dataUormsllogmdik npcl <br />