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Alpha Analytical, Inc. • Phone: (775)355-1044 FAX: (775)355-0406 Sample Receipt Checklist Date Report is due to Client: 3127/2003 Date of Notice : 3/1912003 8:35:16 A Please take note of any No check marks. If we receive no response concerning these items within 24 hours of the date of this notice,all of the samples will be analyzed as requested. Client Name Stratus Environmental Project ID: 2001-01031 Telchert Project Manager: Steve Carter Client's Phone (530) 676-6008 Client's FAX (530)676-6005 Work Order Number STR03031921 Date Received :3/1812003 Received by: Graciela Navarrete Chain of Custody(COC)Information Carrier name Alpha Employee Picked Up. Chain of custody present? Yes No Custody seals intact on shipppg in container/cooler? Yes ❑ ❑ No Not Presen ❑ Custody seals intact on sample bottles? Yes ❑ ❑ No Not Presen ❑J Chain of custody signed when relinquished and received? Yes ❑ No Chain of custody agrees with sample labels? YesJ❑ ❑ No Internal Chain of Custody(COC)requested ? Yes ❑ No Sub Contract Lab Used : None SEM Other(see comments) ❑ Sample Receipt Information hipping containerlcooler in good condition? Yes 2/1 ❑ No Not Presen ❑ Samples in proper containertbottle? Yes F,/- ❑ No Sample containers intact? Yes 1V No Sufficient sample volume for indicated test? Yes 0 ❑ No Sample Preservation and Hold Time HT Information All samples received within holding time? Yes 0 ❑ No Cooler Temperature Container/Temp Blank temperature in compliance(0-6°C)7 Yes .71 ❑ No 40C Water-VOA vials have zero headspace!no bubbles? Yes 1;� ❑ No No VOA vials submitted ❑ TOC Water-pH acceptable upon receipt? Yes ❑ ❑ No N/A TOC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested 7 Yes ❑ 0 No Are there client specific Project requirements? Yes ❑ No If YES :see the Chain of Custody(COC) Comments