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Alpha Analytical, Inc. Phone (775)355-1044 FAX (775)355-0406 Sample Receipt Checklist Date Report is due to Client 614102 Date of Notice 5/24102 1 26 09 PM Please take note of any Non-Compliant check marks If we receive no response concerning these items within 24 hours of the date of this notice,all of the samples will be analyzed as requested Client Name Stratus Environmental Project ID Beasley Project Manager Jay Johnson Client's Phone (530)676-6000 Client's FAX (530)676-6005 Work Order Number STR02052464 Date Received 5124102 Received by Tracy Degiovanni Chain of Custod COC Information Carrier name Golden State Overnight Chain of custody present? Yes �Z ❑ No Custody seals intact on shippping container/cooler? Yes V9 ❑ No Not Present ❑ Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present �1 Cham of custody signed when relinquished and received? Yes ❑ No Chain of custody agrees with sample labels? Yes ® ❑ Non-Compliant Internal Chain of Custody(COC)requested? Yes ❑ ® No Sub Contract Lab Used None ® ❑ SEM Other(see comments) ❑ Sample Receipt Information Shipping container/cooler in good condition? Yes 0❑/ ❑ No Not Present ❑ Samples in proper container/bottle? Yes ❑ Nan-Compliant Sample containers intact? Yes ❑ No Sufficient sample volume for indicated test? Yes ® ❑ No Sample Preservation and Hold Time(HT)_Information All samples received within holding time? Yes 5Z ❑ Non-Compliant Cooler Temperature Container/Temp Blank temperature in compliance(0-6°C)? Yes FYI' ❑ Non-Compliant 4°C Water-VOA vials have zero headspace? Yes Ivi ❑ Non-Compliant No VOA vials submitted ❑ TOC Water-pH acceptable upon receipt? Yes ❑ ❑ No NIA R TOC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested? Yes ❑ No Are there client specific Protect requirements? Yes ❑ ® No If YES see the Chain of Custody(COC) Comments