Laserfiche WebLink
� Torrent <br /> Sample Receipt Checklist <br /> Client Name: Environmental RocovarV Services.In Date and Time Received: 7I30=1D 16:00 <br /> Project Name: Owens lliinois-TragZ Received By: bma <br /> Work Order No.: 1007145 Physically Logged By: <br /> Checklist Completed By: lorna <br /> Carrier Name, Gold D rt Courier <br /> Chain of CustodV(CCC)Information <br /> Chain of custody present? Yes <br /> Chain of custody signed when relinquished and received? Yes <br /> Chain of custody agrees with sample labels? Yes <br /> Custody seals intact on sample bottles? Not PreM <br /> Sample Receint Information <br /> Custody seals intact on shipping containerloaeler7 Not Present <br /> Shipping Container/Gooier In Good Condition? Yes <br /> Samples in proper containerlbottie? Yes <br /> Samples containers intact? Yes <br /> Suff<dent sample volume for indicated test? Yes <br /> Sample Preservation and Bold Tinie(HTJ Information <br /> All samples received within holding time? Yes <br /> ContelnerfFemp Blank temperature in compliance? Temperature: °C <br /> Water-VOA vials have zero headspace? No VQA vials suhm,iged <br /> Water-pH acceptable upon receipt? <br /> pH Checked by: pH Adjusted by: <br /> ,mn sincrnlr Prontarj<:nt.,foilPltn3,CA 950:38 tet.4on.2fi3.s2ea 1 rax:40B-263.0293 l wNtw_tArrcntlp t�.rom <br /> Total Page Count: 16 Page 14 of 16 <br />