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ATL <br /> TL Sari Francisco <br /> Sample Receipt Checklist <br /> Submission #:2003- <br /> Checklist <br /> : 00 -hecklist completed by_ (initials)�'� Date; <br /> COLOer n2mE3- D STI_ Sari Frandsoo Ciier}t _ <br /> Not <br /> bus#ody seals intact n shipping aontaine samples Yes No Present_ <br /> Chain of custody present? Yes Na <br /> Chain of custody s1gnad when relinquished 2nd received? Yes '�-'-<No <br /> Ghairi of custody agrees with sample labels? yes /No� <br /> Sam ples.in proper canto inedbottie? Yes_ No <br /> arnple conlainers intact? Yes No <br /> .9uffiioAent sample volume for indicated test? yes /N8� <br /> All samples received within holding time? Yes::�INa- <br /> ::� <br /> Containerffernp Blank temperature In compliance (4° C± )? Temp: rc Yes "",me <br /> Water-VOA vials have zero headspace? leo VOA vials submitted Yes No <br /> (ii bubble is present, refer to approximate7ye's' <br /> ite and itemize in comments as 6 (small- ()), M (mf5dium ) ur L (urge- ) <br /> Water- pH acceptable upon recel.pt? Na <br /> Q pH adjusted- Preservative tized= CO HN05 U HCl EJ 1-12S.00 D NaOH M ZnOAc <br /> For any Item check-lasted "No". provIded detail of discrepancy In comment section below; <br /> Comments: V1 vs 0 -' '-' D(f 0' <br /> Project Management CIRGut'rng for instruction of indicated discrepancy(ies)] <br /> Project Mallager, (initials) Dato. <br /> Olierit contaoted 0 Yes © No <br /> irnmary of dieLcussion- <br /> Corrective Action (per PMli llent); <br />