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Accutest Laboratories Northern California Sample Receiving Check List Job#: C 153RD Initial: EK <br /> RevleW Chain of Custody Chain of Custody Is to be complete and legible. <br /> pyre these regulatory tNP9e6)samples?6WA— es No W <br /> qts pH requested? Yes/© Client Sample 10 pH Check9' _ <br /> teAssuas <br /> o Was Client Informed that hold time Is 15 min? Yes/No Continue Yes/No <br /> o Was onhe-Phosphate filtered with In 15 min? Yes/No Continue Yes/No <br /> VAre sample wllhln hold time? es No <br /> Are sample In danger of exceeding hold-time Y. /a <br /> (yExistfng Client? es No Existing Project? Yes <br /> If No:Is Report to Info complete and legible,Including; till//// fiv a <br /> o deliverable o Name a Address o phone o e-mail 40 6011�'Lrl <br /> Is Bili to Info complete and legible,Including; _ <br /> o POS o Credit card ❑Contact oaddress o phone o e-mail <br /> Is Contact and/or Project Manager identified,Including; <br /> o phone o e-mall <br /> o Project name/number <br /> p,$peclal requirements? Yes/e <br /> atample IDs/dale&time of collection provided? 62/No <br /> alts Matrix listed and correct? No <br /> pAnslyses listed,we do,or client has authorized a subcontract? No <br /> p6ain is signed and dated by both client and sample custodian? es No <br /> 96T requested available? /No Approved by_PM <br /> Review Coolers: <br /> 9*ere all Coolers temperatures measured at 56°C?.3•$et" (9/No <br /> �If cooler Is outside the 5VG:note down the affected bottles In that cooler on the left ^ <br /> e samples on Ice? No <br /> Note that ANC does NOT accept evidentlary samples.(We do not lock refrigerators) - <br /> a/Shipment Received Method AC <br /> p6ustody seals: Present: Yes/ If Yes;Unbroken: Yes/No <br /> Review of Sample Battles:If you answer no explain to the side <br /> f/Chaln matches baffle labels? (9/No V8ampie bottle intact? es No <br /> V's(hare enough sample volume In proper bollie for requested analyses? es No <br /> pPfoper Preservatives? (91 No <br /> //Check pH on preserved samples except 1664,625,8270 and VQ&jnake notes on left. <br /> va'Headspace-VOAs? Greater than 8mm In diameter Yes/1Qo1 <br /> List sample ID and affected container CCJJ <br /> Non-Compliance issues and discrepancies on the COC are forwarded to Project.Management <br /> \1Accunca.accutest.com\depts\ga\sops\sop_completelist_2010\current active_sop oct 2010\sc001f1_O_form1_samplecontrol samplereceivingchecklist 2009-01-01 A= <br /> C15380: Chain of Custody <br /> Page 2 of 2 <br /> ■■ 23 of 40 <br /> M ACCUTEST. <br /> C15380 .....I.""a <br />