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TL <br /> TL San Francisco <br /> Sample Receipt Checklist <br /> Submission ##:2003- <br /> Checklisl completed by; (Initials) <br /> Caurief name. E] STL San Francisco L3 Cl Fent <br /> Custody seals intact on shipping containarlsarnples fiat <br /> .Ye,�Na Fsent_ <br /> Chain of custody present? Yes EI o <br /> Crain of custody signed when reIInquished and feceived? Yes No <br /> Chain of custody agroes wide sample labels? ye*_J,, <br /> Samples in proper containerlbottle? Yes��o <br /> Sample contalners intacr yes_o <br /> Suffr-iani sample volume for 1nd1 ted test? Yes -�o <br /> All samples received within holding time? yes Na <br /> ContalnerlTemp Biank temperature in compliance (40 C =2)? TempC Yes_ -too <br /> Water-VOA vials-have zero headspacr? No VQA vials submitted Yes t,�No <br /> Cf babble is presen[, refer to approximate bubble size and itamize in comments sr,S (small—0), M(rnedium- ) or L(large- <br /> atef- pH acceptable upon receipt7YC� es 0 No <br /> ❑ pH adjusted- Preservative used: ❑ HNO2 ❑ HCl ❑ H2SO4 ❑ NaOH ❑ ZnQAr, <br /> For any item checMisted "No", provided detail of discrepancy in commentsection below: <br /> Comments: <br /> Project Management [Routing for instruction of indicated disc repanoy(ies)] <br /> Project Manager_ (initials) Date. —1103 <br /> Client con(acted- ❑ Yes ❑ iia <br /> Summary of discussion: <br /> Corrective Action (per PMlClient): <br />