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k <br /> Login Sample Receipt Check List <br /> Client:TestAmedea Analytical Testing Corp. ,lob Number.500.7784-1 <br /> Login Number:7784 Ust Source.,TestAmedca Chicago <br /> Creator:Lunt,Jeff T <br /> List Number.t <br /> Question T I pI NA Comment <br /> Radioactivity elther was not measured or,If measured,is at or below . True <br /> background <br /> $ The coolers custody seal,if present,is Intact. True 3 <br /> The cooler or samples do not appear to have been compromised or True <br /> tampered with. <br /> Samples were received on Ice. True 2.3 <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. Prue <br /> COC is filled out with all pertinent Information, TWO <br /> + There are no discrepancies between the sample IDs on the containers and Tare <br /> the COC. <br /> Samples are received within Holding Time. True <br /> Sample containers have legible labels. True <br /> Containers are not broken or leaking. True <br /> I Sample collection dabWmes are provided. True <br /> Appropriate sample containers are used. True <br /> Sample bottles are completely filed. True <br /> There is suMdant vol.for all requested analyzes,Ind.any requested True <br /> MSIMSRs <br /> VOA sample vials do not have headspace or bubble is<6mm(114°)in NIA <br /> diameter. <br /> If necessary,staff have been Informed of any short hold time or quick TAT True <br /> needs <br /> Multiphasic samples are not present Tete <br /> Samples do not require splitting or composking, True <br /> 1 <br /> TeatAmerlca Chicago <br /> Page 13 0! 13 <br />