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Alpha Analytical, Inc. <br /> Phone (775)355-1044 FAX (775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client 12/30/2005 Date of Notice 12/21/2005 11 57 33 <br /> 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 <br /> the samples will be analyzed as requested <br /> Client Name Stratus Environmental Project ID Telchert <br /> Project Manager Steve Carter Client's Entail starter@stratusinc net <br /> Client's Phone (530)676-6008 Client's FAX (530)676-6005 <br /> Work Order Number STRO5122125 Date Received 12/21/2005 Received by Graciela Navarrete <br /> Chain of Custody(COC)Information <br /> Carrier name FedEx <br /> Chain of custody present? Yes V ❑ No <br /> Custody seals intact on shippping container/cooler? Yes d❑ ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present <br /> Chain of custody signed when relinquished and received? Yes d❑ ❑ No <br /> Chain of custody agrees with sample labels ? Yes ❑ No <br /> Sample ID noted by Client on COC? Yes Q ❑ No <br /> Date and time of collection noted by Client on COC? Yes ❑ No <br /> Samplers's name noted on COC? Yes © ❑ No <br /> *rnal Chain of Custody(COC)requested ? Yes ❑ R9 No <br /> Sub Contract Lab Used None 0 ❑ SEM Other(see comments) ❑ <br /> Sample Receipt Information <br /> Shipping container/cooler in good condition? Yes V ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes No <br /> Sample containers intact? Yes ❑d ❑ No <br /> Sufficient sample volume for indicated test? Yes 0 ❑ No <br /> Sample Preservation and Hold Time(HT1 Information <br /> All samples received within holding time? Yes 6?1 ❑ No <br /> Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes 0 ❑ No 40C <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes ❑ No No VOA vials submitted ❑ <br /> Sample labels checked for correct preservation? Yes ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No NIA W <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested ? Yes ❑ No <br /> Are there client specific Project requirements? Yes ❑ No If YES see the Chain of Custody(COC) <br /> Comments <br />