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TL. <br /> TL San Francisco <br /> Sample Receipt Checklist <br /> Submission 4:2003- 0600 <br /> Checklist completed by, (ini##ats) Date: 06 LLZ103 <br /> Couriernarr,e: ❑ STIL Ban Francisco Q CIierrt <br /> Not <br /> Custody seals inlact orr shipping conta i n e Us@ mptes Ye F, No_ Present <br /> Chain of custody present's Yes � �o <br /> Chain of custody signrid when relinquished and received? Yes <br /> Chair,of custody agrees voth sample tsbefs? Yes No <br /> Samplesinproperconlainerbottle? — Yes No <br /> Sample containers intact? 1 ` �' / �+ Yes No <br /> Sufficaent sampfe voiurne for indicated teM? Yes No <br /> All samples received within holding tlrne? j Yes c No <br /> Container/Temp Man% lemperature in cornplianoe (4P G* 2)? T mei "-x C Yes No <br /> Water-VOA vials have zero headspsce? Na VOA vials submitted, esu No� <br /> I <br /> (f bubble is present, refer to approximate bubble size and itemize in camrnents as S (small -()), M (rnQdium - ) or L (large v ) <br /> Water-pH acceptable upon recmipt? xyles [7 No <br /> 0 pH adjusted- Preservative used= Q HNOr ❑ HCl t7 H2SO4 D NaOH ❑ ZnOAc <br /> For any item check-HsWd "No",provided detail of discrepancy in comment section below; <br /> Comments, <br /> Project Management [Routing for instrUction of indicated discrepancy(Tes)j <br /> Project Manager-, (ini#ia[8) Date: J /M <br /> GIlent contacted: ❑ Yes 0 No <br /> urnmary of discussion; <br /> Correctiva Action (per PMIUent); <br />