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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: 2/27/2026 Workorder: N081747 <br /> Rep sample Temp(Deg C): 1.9 IR Gun ID: 4 <br /> Temp Blank: ❑ Yes V No <br /> Carrier name: FedEx <br /> Last 4 digits of Tracking No.: 0634 Packing Material Used: Bubble W rap <br /> Cooling process: d❑ Ice ❑ Ice Pack ❑ Dry Ice ❑ Other ❑ None <br /> Sample Receipt Checklist <br /> 1.Shipping container/cooler in good condition? Yes d❑ No ❑ Not Present ❑ <br /> 2.Custody seals intact,signed,dated on shippping container/cooler? Yes ❑ No ❑ Not Present ❑d <br /> 3.Custody seals intact on sample bottles? Yes ❑ No ❑ Not Present ❑d <br /> 4.Chain of custody present? Yes d❑ No ❑ <br /> 5.Sampler's name present in COC? Yes d❑ No ❑ <br /> 6.Chain of custody signed when relinquished and received? Yes ❑ No ❑ <br /> 7.Chain of custody agrees with sample labels? Yes ❑ No ❑ <br /> 8.Samples in proper container/bottle? Yes d❑ No ❑ <br /> 9.Sample containers intact? Yes d❑ No ❑ <br /> 10.Sufficient sample volume for indicated test? Yes d❑ No ❑ <br /> 11.All samples received within holding time? Yes d❑ No ❑ <br /> 12.Temperature of rep sample or Temp Blank within acceptable limit? Yes d❑ No ❑ NA ❑ <br /> 13.Water-VOA vials have zero headspace? Yes ❑ No ❑ NA ❑d <br /> 14.Water-pH acceptable upon receipt? Yes ❑ No ❑ NA ❑d <br /> Example:pH>12 for(CN,S);pH<2 for Metals <br /> 15.Did the bottle labels indicate correct preservatives used? Yes ❑ No ❑ NA ❑d <br /> 16.Were there Non-Conformance issues at login? Yes ❑ No ❑ NA ❑d <br /> Was Client notified? Yes ❑ No ❑ NA ❑d <br /> Comments: <br /> For: <br /> �I �J <br /> Checklist Completed By: VM Vaughn Mariano Reviewed By: YR a�YC <br /> 212712026 0 27 2026 ��JJ <br />