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0 <br />Client: Stockton Scavengers Association Inc <br />Login Number: 41009 <br />List Number: 1 <br />Creator: Hytrek, Cheryl <br />Login Sample Receipt Checklist <br />Question <br />Radioactivity wasn't checked or is </= background as measured by a survey <br />meter. <br />The cooler's custody seal, if present, is intact. <br />Sample custody seals, if present, are intact. <br />The cooler or samples do not appear to have been compromised or <br />tampered with. <br />Samples were received on ice. <br />Cooler Temperature is acceptable. <br />Cooler Temperature is recorded. <br />COC is present. <br />COC is filled out in ink and legible. <br />COC is filled out with all pertinent information. <br />Is the Field Sampler's name present on COC? <br />There are no discrepancies between the containers received and the COC. <br />Samples are received within Holding Time. <br />Sample containers have legible labels. <br />Containers are not broken or leaking. <br />Sample collection date/times are provided. <br />Appropriate sample containers are used. <br />Sample bottles are completely filled. <br />Sample Preservation Verified. <br />There is sufficient vol. for all requested analyses, incl. any requested <br />MS/MSDs <br />Containers requiring zero headspace have no headspace or bubble is <br /><6mm (1/4'). <br />Multiphasic samples are not present. <br />Samples do not require splitting or compositing. <br />Residual Chlorine Checked. <br />0 <br />Answer Comment <br />N/A <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />N/A <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />N/A <br />True <br />True <br />True <br />True <br />N/A <br />4.0 <br />Job Number: 280-41009-2 <br />List Source: TestAmenca Sacramento <br />List Creation: 04/1711312:52 PM <br />TestAmerica Denver 5/3/2013 <br />Page 19 of 20 <br />