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- Cal Tech Environmental Laboratories Inc <br /> Sample Receiving Check List ' <br /> Date received 03 Time 7/1 <br /> Lab ID# 0:7—O 95Client <br /> -7 el <br /> Answer Yes No NIA ' <br /> COC Present ❑ ❑ <br /> # of packages ❑ ❑ ❑ ' <br /> Sample received on ice <br /> p � ❑ ❑ <br /> Type of ice Blue et ® ® ❑ <br /> Temperature 2 cc <br /> ® ® ❑ ' <br /> Samples intact ❑ ❑ <br /> Leaking bottles ❑ ❑ <br /> Custody seals intact ❑ ❑ <br /> COC completed ❑ '0< ❑ ' <br /> Bottle labels matching COC ❑ ❑ <br /> Preservation Chic Cl El <br /> Preserved at lab ❑ ❑ <br /> Sample volume sufficient ❑ ❑ ' <br /> Notify analysts m r ❑ p <br /> Subcontrct analyses? 7❑� ❑ <br /> Discrepancies and Notifications <br /> 1 <br /> 1 <br /> Sample Receipt by. !� <br /> 1 <br />