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tL <br /> STL San Francisco <br /> Sample Receipt Checklist <br /> Submission #:2003- 1(a - O <br /> Chec ist completed by; {iniftls? _ Date= Ob 1103 <br /> Courier name; Q STL San Francisco Q Client <br /> Not <br /> Custody seals intact on shipping con tainerlsarnpres VO <br /> Present <br /> Gha3n of custody present? Yes ti Na <br /> Chain of custody signed when retinquished and received? Yes u <br /> Chain of custody agrees with sample labels? z� Yes No <br /> Sam pies in proper conWnerfbottle? <br /> �y YesNo <br /> Sample cnnWiners intact? Yes V' Nn <br /> Sufficient sampie uatume for indicated test? yas__Lz . No <br /> All samples-received with In holding time? Yes Na, <br /> .r <br /> antainer/Ternp Blank temperature in =rnphanoe (43 C =2)? TempC Yes' No <br /> 'Nater-VOA vials have zero headspacO No VOA vials submitted 'des �--Ne <br /> (If bubble is present, refer to approximme bubble size and itemize in comments as S {small-0). M (medium - ) or L Marge - ) <br /> Water-pH accapta#le upon receipt? kea 0 No <br /> ❑ pH adjusted- Preservative used: G HNO3 M HDI M H2SO4 M NaOH O ZnOAc <br /> For any rt.em check-Listed "No", provided de#ail of discrepancy in comment aection below: <br /> Comments- <br /> Project Management [Routing for instruction. of indicated discrepancy(les)] <br /> Project Manager: (initials) Date: <br /> Client contacted: 0 Yes ❑ No <br /> Summary of discussion; <br /> Vorrec;:ve Action (per PMICIIant). <br />