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+SunStar <br />Laboratories, Inc. <br />PROVIDING QuAtra ANALYTICAL SERVICES NATIONWIDG <br />Page 1 of <br />SAMPLE RECEIVING REVIEW SHEET <br />BATCH # <br />Client Name: e.R40.4.A) <br />Received by: <br />Delivered by : 0 Client SunStar Courier <br />Total number of coolers received / <br />Project: Aron, 444Y ifeoP,Yerl' <br />Date/Time Received: IP• ./..? /ovo <br />fl GS0 Ei-FedEx E Other <br />Temp criteria = 6°C > 0°C (no frozen containers) <br />Temperature: cooler #1 h 2, °C +/- the CF (- 0.2°C) = 1,0 °C corrected temperature <br />cooler #2 °C +/- the CF (- 0 2°C) = °C col rected temperature <br />cooler #3 <br /> °C +/- the CF (- 0 2°C) = °C corrected temperature <br />Samples outside temp. but received on ice, w/in 6 hours of final sampling. NYes IllNo* []N/A <br />Custody Seals Intact on Cooler/Sample [j]Yes ONo* ZN/A <br />Sample Containers Intact ilaYes []No* <br />Sample labels match COC ID's ]Yes []No* <br />Total number of containers received match COC NYes :No* <br />Proper containers received for analyses requested on COC NYes [No* <br />Proper preservative indicated on COC/containers for analyses requested ElYes [No* 1N/A <br />Complete shipment received in good condition witl correct temperatures, containers, labels, volumes <br />preservatives and within method specified holding times. Yes []No* <br />* Complete Non-Conformance Receiving Sheet if checked Cooler/Sample Review - Initials and date r--1 yta.(9 <br />Comments: