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Login Sample Receipt Checklist <br />Client: Stantec Consulting Corp. Job Number: 720-86164-1 <br />Login Number: 86164 <br />List Source: TestAmerica Pleasanton <br />List Number: 1 <br />Creator: Arauz, Dennis <br />Question <br />Answer Comment <br />Radioactivity wasn't checked or is <1= background as measured by a survey N/A <br />meter. <br />The coolers custody seal, if present, is intact. True <br />Sample custody seals, if present, are intact. N/A <br />The cooler or samples do not appear to have been compromised or True <br />tampered with. <br />Samples were received on ice. True <br />Cooler Temperature is acceptable. True <br />Cooler Temperature is recorded. True <br />COC is present. True <br />COC is filled out in ink and legible. True <br />COC is filled out with all pertinent information. True <br />Is the Field Sampler's name present on COC? True <br />There are no discrepancies between the containers received and the COC. True <br />Samples are received within Holding Time (excluding tests with immediate True <br />HTs) <br />Sample containers have legible labels. True <br />Containers are not broken or leaking. True <br />Sample collection date/times are provided. True <br />Appropriate sample containers are used. True <br />Sample bottles are completely filled. True <br />Sample Preservation Verified. N/A <br />There is sufficient vol. for all requested analyses, incl. any requested True <br />MS/MSDs <br />Containers requiring zero headspace have no headspace or bubble is True <br /><6mm (1/4"). <br />Multiphasic samples are not present. True <br />Samples do not require splitting or compositing. True <br />Residual Chlorine Checked. N/A <br />TestAmerica Pleasanton <br />Page 38 of 38 5/11/2018