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Login Sample Receipt Checklist <br /> Job Number:720-38311-1 ,';ps <br /> Client:Kleinfelder Inc <br /> List Source:TestAmerica San Francisco <br /> Login Number:38311 <br /> List Number:t <br /> Creator:Apostol,Anita <br /> Answer Comment <br /> Question <br /> Radioactivity either was not measured or,if measured,is at or below <br /> N/A <br /> background NIA <br /> The cooler's custody seal,if present,is intact. <br /> ' The cooler or samples do not appear to have been compromised or True <br /> tampered with. <br /> True <br /> Samples were received on ice. <br /> Cooler Temperature is acceptable. True <br /> True <br /> Cooler Temperature is recorded. <br /> True <br /> COC is present. <br /> COC is filled out in ink and legible. True <br /> ' COC is filled out with all pertinent information. True <br /> Is the Field Samplers name present on COC? True <br /> There are no discrepancies between the sample IDs on the containers and True <br /> the COC. <br /> True <br /> Samples are received within Holding Time. <br /> Sample containers have legible labels. True <br /> ' Containers are not broken or leaking. True <br /> Sample collection date/times are provided. True <br /> Appropriate sample containers are used. <br /> True <br /> Sample bottles are completely filled. True <br /> Sample Preservation Verified. N/A <br /> There is sufficient vol.for all requested analyses,incl.any requested <br /> True <br /> ' MS/MSDs True <br /> VOA sample vials do not have headspace or bubble is<6mm(1/4")in <br /> diameter. <br /> True <br /> Multiphasic samples are not present. <br /> Samples do not require splitting or compositing. <br /> True <br /> Residual Chlorine Checked. N/A <br /> 1 <br /> ' TestAmerica San Francisco Page 15 of 16 11101/2011 <br />