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TL <br /> TL Sale Francisco <br /> 0!5 <br /> Sample Receipt Checklist <br /> Submission #:2003- - � <br /> Checklist uompleted by.(Initials) MV te: CJ l <br /> Courier rrame: Q STL San Francisco Client_ <br /> Not <br /> Custody sbals intact on shipping opmainerlsarnples Yes No Present <br /> Chain of custody present? Yes Na <br /> Chain of custody signed when relinquished and received? Yes-,f�Na� <br /> Clain of custody agrees with sample labels" Yes No <br /> Samples in proper corntainedhottle? Yes No_ <br /> Sample containers intact7 yes No <br /> Sufficient sample volume for indicated lest? Yes No <br /> All samples received within holding time? Yes talo <br /> Container/Temp Blank temperature in csmpllance (40 C= )? Temp:�" ""'C Yes Shia_ <br /> Water- VDA AA; have zero headspace7 No VOA vials submitted -,-�Yes No <br /> (if bubble is present_ refer to approximate bubble size and itefrlizf�in comments as S (small---0). M (medium- ) or L (large- ) <br /> VVater- pH acceptable upon receipt? xYes ll No <br /> ❑ pH adjusted- Preservative used: Q HNOo ❑ 14CI 0 I"2SOd Q NaOH ❑ ZnOAc <br /> For any item check-ilsted "No", provided detail of discrepancy in comment section below: <br /> Comments, <br /> Project Management [pouting for instruction of indicated discrepancy(ies)] <br /> Project Manager'. {inlfials)�Data <br /> Client contacted' 13 Yes Q No <br /> Summary of discussion: <br /> Corrective Adtion (per PWC4enl): <br />