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Alpha Analytical, Inc, <br /> . <br /> Phone:(775)355-1044 FAX:(775) 355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client: 4/24/2006 Date of Notice: 4/14/2006 1:03:32 P <br /> Please take note of any NO check marks. If we receive no response concerning these items within 24 hours of the date of this notice,all of <br /> the samples will be analyzed as requested. <br /> Client Name: Stratus Environmental Project 10 : 2005-2050-11 Apache Plastics <br /> Project Manager: Scott Bittinger Client's EMaT sbittinger@stratusinc.net <br /> Client's Phone: (530)676-6009 Client's FAX: (530)676-6005 <br /> Work Order Number: STRO6041427 Date Received:4/14/2006 Received by:Tasha Pascal <br /> Chain of Custody CDC Information <br /> Carrier name: FedEx <br /> Chain of custody present? Yes Wj D' No <br /> Custody seals intact on shippping container/cooler? Yes V-.,' ❑I No Not Present L_i <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present i!!6 <br /> Chain of custody signed when relinquished and received ? Yes G ❑ No <br /> Chain of custody agrees with sample labels? Yes �1 ❑ No <br /> Sample 10 noted by Client on COC? Yes W ❑ No <br /> Date and time of collection noted by Client on COC? Yes ❑d ❑ No <br /> Samplers's name noted on COC? Yes V E1 No <br /> Internal Chain of Custody(COC)requested? Yes ❑ 'W No <br /> *Sub Contract Lab Used : None L✓1 ❑ SEM Other(see comments) ❑ <br /> Sample Recel t Information <br /> Shipping container/cooler in good condition? Yes 6/i ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes [Vi ❑ No <br /> Sample containers intact? Yes V ❑ No <br /> Sufficient sample volume for indicated test? Yes r ❑ No <br /> Sample Preservation and Hold Time HT Information <br /> All samples received within holding time? Yes ' ❑ No Cools r Temperature <br /> Containerffemp Blank temperature in compliance(0-6"C)? Yes !Ca ❑ No 4°C <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑1 No No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes 1 ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No N/A <br /> Analytical Requirement Information <br /> —I r <br /> Are non-Standard or Modified methods requested? Yes ❑ No - <br /> Are there client specific Project requirements? Yes ,6 No If YES :see the Chain of Custody(COC) <br /> Comments: <br /> * <br />