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Mn STL <br /> TL San Francisco <br /> _ Sample Receipt he k ist <br /> Submission #:2003- - <br /> Chea tklist completed by: (inch€s) Date, 0-:5 )22 ,m <br /> Couder name= ❑ STL -an Francisco 0 Client ( '1. <br /> filo# LZ <br /> custody seals intact on stripping cantainerlsamples Yes No: Preserlt� <br /> Chain of custody present? `des No <br /> Chain of rusiady signed when relinquished and receevecf? Yes , Igo <br /> Chain of custody agrees wiRh sample Jabe!151 Yeses No <br /> Samples in proper containerttle? �� �� Yes ,- Na_ <br /> Sample comainets intact? Yes No <br /> Sufficient sample Volume for indicated test? } " yep t No <br /> Ail samples received within holding time? Yeses No <br /> Container/Temp Blank temperature in cornplia6-e (4° C t )? Temp, °c Yes No <br /> Water-VOA vials have zero headspace? Ni)VOA.vials subrnitfpd Yes4/No <br /> (if bubble is present, refer to approximate bubble size and Herniza in comments as S (small—Q}, M (medium — ) or L(large— ) <br /> Water- pH accaptable upon receipt? Yes 0 No <br /> 0 pH adjusted— Preservalive used: M HIKOa 0 HCI M Hz O-0 0 h UGH ❑ZnOAc <br /> For any item check-listed "Flo", provided detail of discrepancy in comment section below- <br /> Comments: <br /> Project Management [Routing for instruction of indicated discr pancy(ies)] <br /> Project Kl nagen (inr#ials) Date_ <br /> Client contacted; 0 Yes 13 Na <br /> Summary of(Jrscussio�n; <br /> Correcdve Action (per I'MICIient), <br />