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0 . <br /> ASSET Laboratories <br /> Please review the checklist below. Any NO signifies non-compliance. Any non-compliance will be noted and must be understood <br /> as having an impact on the quality of the data. All tests will be performed as requested regardless of any compliance issues. <br /> If you have any questions or further instruction, please contact our Project Coordinator at(702)307-2659. <br /> Cooler Received/Opened On: 3/21/2017 Workorder: N023545 <br /> Rep sample Temp(Deg C): 22.8 IR Gun ID: 2 <br /> Temp Blank: ❑ Yes 6fl No <br /> Carder name: Golden State Overnight <br /> Last 4 digits of Tracking No.: 4455 Packing Material Used: Bubble Wrap <br /> Cooling process: ❑ Ice ❑ Ice Pack ❑ Dry Ice ❑ Other <br /> None <br /> Sample Receipt Checklist <br /> 1.Shipping container/cooler in good condition? Yes © No❑ Not Present ❑ <br /> 2.Custody seals intact,signed,dated on shippping container/cooleo. Yes ❑ No❑ Not Present <br /> 3.Custody seals intact on sample bottles? Yes ❑ No❑ Not Present 0 <br /> 4.Chain of custody present? Yes © No❑ <br /> 5.Sampler's name present in COC? Yes © No❑ <br /> 6.Chain of custody signed when relinquished and received? Yes V No❑ <br /> 7.Chain of custody agrees with sample labels? Yes ❑ No W] <br /> 8.Samples in proper containerlbottle? Yes V No❑ <br /> 9.Sample containers intact? Yes V No❑ <br /> 10.Sufficient sample volume for indicated test? Yes W] No❑ <br /> 11.All samples received within holding time? Yes 66 No❑ <br /> 12.Temperature of rep sample or Temp Blank within acceptable limit? Yes ❑ No© NA ❑ <br /> 13.Water-VOA vials have zero headspace? Yes ❑ No❑ NA <br /> 14.Water-pH acceptable upon receipt? Yes ❑ No❑ NA <br /> Example:pH>12 for(CN,S);pH<2 for Metals <br /> 15.Did the bottle labels indicate correct preservatives used? Yes ❑ No❑ NA 0 <br /> 16.Were there Nan-Conformance issues at login? Yes No❑ NA ❑ <br /> Was Client notified? Yes © No❑ NA ❑ <br /> Comments: See Correspondence. <br /> Checklist Completed By: YR !G 3/23/2017 Reviewed By: /jam 3/27/2017 <br />