Laserfiche WebLink
STL Denver <br /> Sample Receiving Checklist <br /> Lott .r �� � TQ( l7C/ ( Daza•TimeReceived: <br /> o any Vame 3c Sampling Site: t ti/1�in EA)L �i. fi{ c <br /> •Caaler�s): ' <br /> Temper=res(°C}: - <br /> P'Yi ro Compiere This Section. Yv v, <br /> Residual chlorine chectc required: ❑ <br /> Special insavcnon ro Sampie Receivine staff: <br /> 32518 <br /> Unpacking.1 Labeling Check Points: <br /> vi r ret .v, <br /> O y� ❑ I. Cooler seals intact. (N/A if nand delivered) Rr <br /> �J ❑ '_. Chain of cusrcdv present <br /> V g i. Barites broken and/or are leaking,commenr if yes. <br /> P.-VOTOGR•aPPf 3ROK=V30f'LZ <br /> 4. Proper container& preseriarives used(ref. Armchmen[D of SOP`- Dpi-QA_00,) <br /> . ❑ i. pH of ail samoies checked and me-_r requirements. nave_cc ptians. <br /> .J 6. Chain of c:lsrodv includes"received by"and"relinquished'by signatures. <br /> dates. and -imes_ <br /> ❑ '. Receipt dads)>4 lours past d1e collection date(s)? If yes_ norify ?.AL;P!L( . <br /> 1 3. Chain of zasredv a_rees with barite count comment if,10. <br /> Q 9. Clain of custodv agrees with !abeis commenr if no. <br /> ❑ ❑ 10. VOA samples tilled complereiy, comment if no. <br /> ❑ '� IL VOA dais preserved, check label. Preservative 'IF"CM :2 °C Sodium rniosulfate <br /> 1=. Did samples require preseriarion with sodium hiosu!fare <br /> ' ❑ ❑ i If Yes :o =i, did he samples contain residual chior'ne" <br /> ❑ ❑ 11. Sedimenr present in dissolved/fritered barites. <br /> CD I:. Are analyses with short holding times requested". <br /> Is asr r sample volume provided far VMS. VISD or marry duplicates" <br /> ❑ t I?. Muiripnase samcles present, <br /> if yes, comment below. <br /> ❑ 1 18. Anv subsamp!in2 Far volariles" If yes. list samples. <br /> THOTOGR.aT9.N UL7P9,1SE 3d�NPr.S <br /> '-d <br /> !9. Subcon=cr CCC signed and sent with samoies :a Borrie pre-.' <br /> 1 --fJ Was ;amele 'abeiing double chec:ced by n �— <br /> - . - _ a sec-nd e._an" <br /> a,eaand acson? <br /> �. iOCIl[ISCnt'11'% J[COIt.^.;S .lr -'1Sc_--Dar C:eS and to ac:icns -.ak.-- 'O :eso[vZ ;he..n un a C0 dirion L pa Rd .eint <br /> Anomaly Ra-cr.;C Rl - <br /> O��Fnrmst4ame:c?ems:v.n.2 _..c_..i Sc <br /> li_J/01 ftcii5i,n <br /> 59 <br />