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TL <br /> TL San Francisco <br /> Sample Receipt Checklist <br /> Submission #€:2003- QS - <br /> Checklist completed by: (initlais) f+ F Date: 09 &2 {03 <br /> Courier riame: Q STL San Friancisco ❑ CElent <br /> Not <br /> Custody seals intact on Shipping containerYsampies Yes, No Present <br /> Chairs of custody present? Peso <br /> Chain of custody signed when relinquished and received? Yes�o- <br /> Chain of custody agrees with sample labels? Yes ` No <br /> Sampler.in proper conkainerlbottle? Yes V No- <br /> Sample contalnerg lntact7 Y8S_ZN0 <br /> Sufficient sample volume for indicated test" �- Yes Zido <br /> All samples received within balding time? Yes NO <br /> Container(Temp Blank ternaerature in compliance{4 C±2)? Tempa °C Yes L--No <br /> Water-VOA vials have zero headspace? Nb VOA vials submitted Yes �No <br /> (if bubble is present, refer to approximate bubble size and itemize in comments as S (small -0}. M (medium - ) or L(large- ) <br /> Water-pH acceptable apan rac2ipt? V'Yes ❑ No <br /> 0 pH adjusted- Preservative used: ❑ HNO3❑ HC 10 H2804 ❑ NaCH ❑ ZnQAo <br /> For ony items check-listed "No", provided detail of discrepancy in cum ment seed on bialow= <br /> Comments: <br /> Project Management [Routing for instruction of indicated discrepancy(ies)j <br /> Project Manager. (initials) Drv. C-3 <br /> Client contacted, ❑ Yes C N; <br /> umrnary of discusston; <br /> Corrective Acilan (per PWC?ient): <br />