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i <br /> I <br /> Login Sample Receipt Check List <br /> 4 <br /> Client:Temple-Inland Job Number.720-22967-1 <br /> i <br /> Login Number:22967 List Source:TestAmerica San Francisco <br /> I <br /> Creator Mullen,Joan <br /> { List Number 1 <br /> Question T I FJ NA Comment <br /> Radioactivity either was not measured or,if measured,is at or below NIA <br /> background <br /> The cooler's custody seal,if present,is intact. NIA <br /> The cooler or samples do not appear to have been compromised or True <br /> tampered with. j <br /> Samples were received on ice. True i <br /> Cooler Temperatura is acceptable. True <br /> Cooler Temperature is recorded. True <br /> COC is present. True <br /> S COC is filled out In ink and legible. True <br /> 4 COC is filled out with all pertinent information. False ' <br /> f There are no discrepancies between the sample IDs on the containers and True <br /> the COC_ <br /> Samples are recelved within•Holding Time. True it <br /> Sample containers have legible labels. True j <br /> Containers are not broken or leaking. True ' <br /> Sample collection dateitimes are provided. True 4 <br /> Appropriate sample containers are used. True 3 <br /> 4 Sample bottles are completely filled. True # <br /> i There is sufficient vol.for all requested analyses,incl.any requested True f <br /> MSIMSos <br /> i <br /> VOA sample vials do not have headspace or bubble is<6mm(114")In True <br /> diameter. 1 <br /> If necessary,staff have been Informed of any short hold time or quick TAT True ' <br /> needs ! <br /> Multlphasic samples are not present True <br /> Samples do not require splitting or compositing. True i <br /> Is the Feld Sampler's name present on COC? True <br /> Sample Preservation Verified True �. <br /> I <br /> I <br /> I � <br /> f <br /> i <br /> TestAmerica San Francisco page 23 of 23 10/12/2009 <br /> ij <br /> tl <br /> ' I <br />