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Alpha Analytical, Inc. • Phone :(775)355-1044 FAX : (775)355-0406 Sample Receipt Checklist Date Report is due to Client: 9119102 Date of Notice: 9111102 12:25:31 PIVI Please take note of any Non-Compliant 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: 2001.01031Teichert Project Manager: Jay Johnson Client's Phone (530)676-6000 Client's FAX (530)676-6005 Work Order Number: STR02091146 Date Received:9/11102 Received by: Dolly S. Baker Chain of Custody(COC)Information Carrier name: Golden State Overnight Chain of custody present? Yes No Custody seals intact on shippping container/cooler? Yes ❑ No Not Present ❑ Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present Chain of custody signed when relinquished and received? Yes ® ❑ No Chain of custody agrees with sample labels? Yes ® ❑ Non-Compliant Internal Chain of Custody(COC)requested? Yes ❑ No Sub Contract Lab Used: None ❑ SEM Other(see comments) ❑ Sample Receipt Information Shipping container/cooler in good condition? Yes lJ No Not Present ❑ Samples in proper containerlbottle? Yes ❑ Non-Compliant Sample containers intact? Yes ❑ No Sufficient sample volume for indicated test? Yes ❑ No Sample Preservation and Hold Time H Information All samples received within holding time? Yes ® ❑ Non-Compliant Cooler Temperature ContainerlTemp Blank temperature in compliance(0-6"C). Yes Ra ❑ Non-Compliant 4°C Water-VOA vials have zero headspace? Yes Fe ❑ Non-Compliant No VOA vials submitted ❑ TOG Water-pH acceptable upon receipt? Yes ❑ ❑ No NIA TOG Samples should have a pH<2(H2SO4) Analytical Requirement_Information Are non-Standard or Modified methods requested? Yes ❑ No Are there client specific Project requirements? Yes ❑ Wi No If YES :see the Chain of Custody(COC) Comments: Lead subbed to SEM.