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STL San Francisco <br /> Sample Receipt Checklist <br /> Ea <br /> Submission 2005- <br /> DATE <br /> Cheekil comp{-tai by <br /> Courier STT SF 16"uricr Feda)t LI PS Other ra <br /> Log-In Details W yew No <br /> I- Custody seals intact on shipoing contairerfsamples <br /> 2 Chain of custody present? <br /> Chain of custody signed %hen r-MinquWicd and reM"CC17 <br /> 4 All samples checked when COC relinquished <br /> S Chain of custody agrees with sample labeis? <br /> ra San-vples in propl ,r conta.nerTbottle'> <br /> 7 Sample ciontairi:trs intact? <br /> 8 sufficle-It sample voluma far indiwitad tostl <br /> 9 All samples received withm hoiding time? <br /> Cooler Teinperaturs ChLck <br /> zink�Read,�n:) Cooler Sample'Tr-m-,enq <br /> Temporatura 151� u-a <br /> RL230(1 for�tavated Tarnperatum, S< nRlzss vis Ea Tem'- <br /> loe Melled frzt;Kriant Ic-3 <br /> a.vpactinn <br /> I - Small J Me-i L.a r g a <br /> Sample %Rh lbroken, <br /> Gr;uahmg cor"arivcn <br /> Are bubbles present in:knv of the VOA <br /> r <br /> r <br /> No unac'e'x' <br /> 'Vater-pH acceptable upon iece)PIL?- <br /> Q pH adjusted- Pressr—live(sed (3 so- -Lot!:I S) <br /> commonts <br /> Projict Mana n of Iticic-ated CIIsZT-er3IwY�iC-:--J1 <br /> Project Manager (MIV040 Dam f los Client zorlzac-'ad- Y4 <br /> 4C11011 Jper <br />