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V2 <br /> sckl Job Sample Receipt Checklist Report <br /> 12/28/1999 <br /> Job Check List Date 12/28/1999 <br /> Jab Number 492710 Location 57218 Customer Job ID Project Manager tis <br /> Project Number 97000260 Project Description Southland - Martinez <br /> art inezRhonda Teiche�ra <br /> Customer IT Group contact <br /> Questions (Y/N) Comments <br /> Chain-of-Custody Present? Y <br /> If "yes", completed properly? Y <br /> Custody seal on shipping container? N <br /> If "yes", custody seal intact? N <br /> Custody seals on sample containers? N <br /> if "yes", custody seal intact? N <br /> Samples chilled? Y 3 <br /> perature of cooler acceptable? (4 deg C +/- 2) Y <br /> Temperature measured from temperature blank? N <br /> Samples received intact (good condition)? Y <br /> volatile samples acceptable? (no headspace) N/A <br /> Correct containers used? Y <br /> Adequate sample volume provided? Y <br /> Samples preserved correctly? N/A <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample labels? Y <br /> open cooler radioactive screen at or below bkgrd? <br /> Additional <br /> Comments <br /> I <br /> ample Custodian Signature/Date Y <br /> Page 1 <br />