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YJ <br /> Alpha Analytical, Inc. <br /> Phone (775)355-1044 FAX (775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client 3125/2004 Date of Notice 3/1712004 1 35 46 P <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 Envtronmental Project ID Teichert <br /> Project Manager Steve Carter Clients Phone (530) 676-6008 Client's FAX (530)676-6005 <br /> Work Order Number STR04031743 Date Received 311712004 Received by Dolly S Baker <br /> Chain of Custody COC information <br /> Carrier name FedEx <br /> Chain of custody present? Yes �� No <br /> Custody seals intact on shippping containertrooler Yes V ❑ No Not Present F1 <br /> Custody seals intact on sample bottles? Yes 1 ❑ No Not Present r�� <br /> Chain of custody signed when relinquished and received? Yes W/I ❑ No <br /> Chain of custody agrees with sample labels? Yes ❑ No <br /> Sample ID noted by Client on COC? Yes �� ❑ No <br /> Date and time of collection noted by Client on COC? Yes ❑ No <br /> amplers's name noted on COC? Yes ❑ No <br /> d? Yes ❑ <br /> Internal Chain of Custody(GOC)requeste ❑� No <br /> None DV F-1SEMOther(see Comments) <br /> Sub Contract Lab Used ❑ <br /> Sample Receipt Information <br /> Shipping container/cooler in good condition? Yes 1/1 ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes ❑ No <br /> Sample containers intact? Yes 1_Z ❑ No <br /> Sufficient sample volume for indicated test? Yes <br /> Wil ❑ No <br /> Sample Preservation and Hold Time HT Information <br /> All samples received within holding time? <br /> Yes ❑ No Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6'C)? Yes <br /> �] ❑ No 4 GC <br /> submitted <br /> Water-VOA vials have zero headspace 1 no bubbles? <br /> Yes ❑ No No VOA vials ❑ <br /> Sample labels checked for correct preservation? <br /> Yes [:1 No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No NIA <br /> Ana! tial Re uirement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ FV] No <br /> 1,71WI Na If YES see the Chain of Custody(COC) <br /> Are(here client specific Project requirements? Yes <br /> �amments <br />