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l <br /> jsckI Job Sample Receipt Checklist Report VZ <br /> 12/02/1999 <br /> Job Number 992524 Location 57218 Customer Job ID Job Check List Date 12/02/1999 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer IT Group Contact Rhonda Teicheira <br /> lQuestions 9 (Y/N) Comments <br /> Chain-of-Custody Present) Y <br /> If "yes", completed properly? Y <br /> Custody seal on shipping container? N <br /> If "yes", custody seal intact) N <br /> Custody seals on sample containers? N <br /> If 'yes", custody seal intact? N <br /> ISamples chilled? Y 3 <br /> perature of cooler acceptable? (4 deg C +/- 2) Y <br /> Temperature measured from temperature blank? N <br /> Samples received intact (good condition)? Y <br /> Volatile samples acceptable) (no headspace) Y <br /> Correct containers used? Y <br /> Adequate sample volume provided? Y <br /> Samples preserved correctly? Y <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample labeLO Y <br /> 4 <br />' open cooler radioactive screen at or below bkgrd) <br /> Additional <br /> Comments <br />' ample Custodian Signature/Date Y <br /> Page 1 <br /> a part of <br /> 5c �i3i Ii��uS�niu4,ln� <br />