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SunStar <br /> Laboratories, Inc. <br />Pacvernimo QuAury AroarricAL SUNICES NAIIONVADO <br />Page 1 of <br />SAMPLE RECEIVING REVIEW SHEET <br />BATCH # 77Y2034/ <br />Client Name: KR47.4,1. Project: MA.resU WAY fROPArierie <br />Received by: <br /> <br />cruNN y <br /> <br />Date/Time Received: <br /> <br />P.21.12/1200 <br /> <br />Delivered by:;ID Client 111 SunStar Courier GS0 FedEx El Other <br />Total number of coolers received Temp criteria = 6°C > 0°C (no frozen containers) <br />Temperature: cooler #1 /.z °C +/- the CF (- 0.2°C) = ,.o °C corrected temperature <br />cooler #2 °C +/- the CF (- 0.2°C) = °C corrected temperature <br />cooler #3 °C +/- the CF (- 0.2°C) = °C corrected temperature <br />Samples outside temp. but received on ice, w/in 6 hours of final sampling. aYes 1:1No* DNA <br />Custody Seals Intact on Cooler/Sample INYes EINo* EIN/A <br />Sample Containers Intact .1 1Yes [}No* <br />Sample labels match COC ElYes :No* <br />Total number of containers received match COC E]Yes ONo* <br />Proper containers received for analyses requested on COC INYes EINo* <br />Proper preservative indicated on COC/containers for analyses requested ElYes ONo* EN/A <br />Complete shipment received in good condition with 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 Sz 9J2119 <br />Comments: