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Login Sample Receipt Check List <br /> Client:Temple-Inland Job Number.720-22967-2 <br /> Login Number:22967 List Source:TestAmerica San Francisco <br /> Creator:Mullen,Joan <br /> List Number:1 <br /> Question T I F1 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. - <br /> Samples were received on ice. True <br /> Cooler Temperature is acceptable. True <br /> Cooler 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. False <br /> There are no discrepandes.between.the sample IDs on the containers and True <br /> the COC. <br /> Samples are received within Holding Time. True <br /> Sample containers have legible labels. True j <br /> Containers are not broken or leaking. True <br /> Sample collection date/limes are.provided. True <br /> Appropriate sample oontainers are used. True <br /> i <br /> Sample bottles are completely filled. True <br /> There is sufficient vol.for all requested analyses,incl.any requested True j <br /> MSIMSOs <br /> VOA sample vials do not have headspace or bubble Is<6mm(114")in True <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. True <br /> Samples do not require splitting or compositing. True <br /> Is the Feld Sampler's name present on COC? True <br /> Sample Preservation Verified True <br /> II <br /> I <br /> i <br /> ' 1 <br /> I <br /> 1 <br /> I <br /> f <br /> TestAmerica San Francisco Page 13 of 13 10/29/2009 ti <br /> a <br />