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F <br /> 4 <br /> Login Sample Receipt Check List <br /> r <br /> Client:TestAmerica Analytical Testing Corp. .lob Number:500.8256-1 <br /> Login Number.8268 List Source:TestAmerica Chicago <br /> Creator:Lunt,Jeff T <br /> List Number:I <br /> Question _ TIFINA Comment _ <br /> Radioactivity either was not measured or,If measured,is at or below True <br /> background <br /> The cooler's custody seal,if present,Is Intact. True <br /> The cooler or samples do not appear to have been compromised or True <br /> tampered with. <br /> Samples were received on loe. True 3.1' <br /> Cooler Temperature is acceptable. True <br /> Cooter 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 /> There are no discrepancies between the sample Jos on the containers and True <br /> the COC. <br /> Samples are mostved within Holding Time. True <br /> Sample containers have legible labels. True <br /> Containers are not broken or leaking. Trice <br /> Sample collection datettimes are provided. True <br /> Appropriate sample containers are used. True <br /> Sample bottles are completely filled. True <br /> There Is sufficient vol.for all requested analyses,Ind.any requested True <br /> MSIMSDs <br /> VOA sample vials do not have headspace or bubble Is 4mm(114")In NIA <br /> diameter. <br /> If necessary,staff have been informed of any short hold time or q ulck TAT True <br /> needs <br /> Muitlphasic samples are not present. True <br /> j Samples do not require splitting or compositing. True <br /> l � <br /> t <br /> f <br /> i <br /> I <br /> i <br /> k <br /> TestAmerles Chicago Page 14 of 14 <br /> E <br />