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TL <br /> TL San Francisco <br /> Sample Receipt Checklist <br /> Submission #:2DO3- 1957 - <br /> Oheckfist completed by_ (inilaals� <br /> Courier name, Q STL San Francisco C�Ileni# <br /> Not <br /> Oustady seats inteCl on shipping contain�rlsarrFples Yes No f'rese€rl_ <br /> Chain of custody present? Yes L410 <br /> Chain of custody signed when relinquished and received? Yes���No � <br /> Chain of Custody agneas with sample label,? Yes - No <br /> Samples fn proper containerlboitic? Yes No <br /> Sample containers intact? Yes Wo� <br /> Sufficient sample volume for indicated lost? YesNo <br /> All samples received within holding time? Yes l--<N _ <br /> Container/Tomp l3Ian l<temperature in r=pIiance (4"C i )? � � Temp: 'C Yes_ Flo <br /> Water-VOA vials have zero headspace? No VOA vials suhrntited Yes No <br /> (f but)ble is present, refer to approkm&e bublule size and itemize in corn ments as S (small -:C)), M (medi€lm - )or L(large- ) <br /> Water-pH aoceptable upon receipt? W41's 0 No <br /> 0 pH adjusted- Preservative used- U HN0; ❑ HCI ❑ 1-12SC)< M NaOH t7 ZnOAc <br /> For any Item check-listed "No", PrOvIdaildetail of discrepancy In comment section below, <br /> V <br /> ,L 4_ n� <br /> Comments: L4�1 { - <br /> Project Management [Routing for instruction of indicated discrepancy(ies)] <br /> Project Managar (initials) DaLe _. + 103 <br /> i-3ent contacted 0 Yes 0 No <br /> SurnMary of discossion, <br /> Corrective Action (per MClient); <br />