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STL — LOS,ANGELES <br /> PROJECT I�CEIPT CHECKLIST'S Date: <br /> Quote #• <br /> Quantims Lot #: <br /> �c - 7 �? <br /> Client Name: — <br /> � /l Project: �e p <br /> Received by: � �� ` <br /> Date/Time Received: // <br /> Delivered by :❑Client ❑Airborne MFed Ex []DHL ❑Ultra-Ex []Rey B. <br /> UPSDES Other ......................................... <br /> Initial / Date <br /> None ...................... 0 <br /> Intact ❑Broken ..................••••• <br /> Custody Seal Status: ❑ []No Seal # <br /> ........... <br /> Custody Seal #(s): <br /> ( ❑STL-LA Client ❑N/A ................................................ <br /> Sample Container s) <br /> Temperature(s) (COOLER/BLANK) in °C: 16 �C (CORRECTED TEMP)................ <br /> Thermometer Used : (Infra-red) ❑Digital (Probe) ............................................. <br /> Samples: <br /> &ntact []Broken ❑Other ............•• <br /> Anomalies: <br /> ❑No [&,Yes (See t+�••. - ........................ <br /> Labeledby ........k� ,�p ............................................................................................ <br /> Labeling checked by .7►L.r.:�..........................:................................�..................:.......... <br /> .....0.......................... ........... <br /> Turn Around Time:❑RUSH-241­113 ❑RUSH-48HR ❑RUSH-72HR Mn oRe AL <br /> Short-Hold Notification: ❑Ph ❑Wet Chem []Metals (Filter/Pres) ❑ UON/A ... -- <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> • <br /> ......... LEAVE NO BLANK SPACES ; USE N/A ...... PH <br /> [Fraction 6 N/A <br /> VOAh /* <br /> h HCl ns:Sadium Hydoxide mna:Zinc Acetate/Sodium Hydroxide s:H2504 n:HNO3 <br /> nlEHNO3•Field filtered nlf/I:HNO3•Lab filtered <br /> CG1.Clew Glue Ju CGB:Clear Glau Bottle AG1:Ambcr Glass Jar AGB:Amber Glaze Basle PB:Poly Bottle E:Encae Sampler V:VOA <br /> * Number of VOA's w/Headspace present <br /> LOGGED BY/DATE: :,t cr // J6 REVIEWED BY/DATE: <br /> ,,,,r„el,,,r.e.•.....t....F... <br /> MC Vim.S 0]0200 <br /> IMF <br /> 000003 <br />