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1 <br /> Login Sample Receipt Checklist <br /> Job Number:720-38443-1 <br /> ' Client:Kleinfelder Inc <br /> List Source:TestAmerica San Francisco <br /> Login Number:38443 <br /> ' List Number:1 -_ <br /> creator:Hoang,Julie <br /> Answer comment <br /> Question <br /> Radioactivity either was not measured or,if measured,is at or below NIA <br /> background <br /> The cooler's custody seal,if present,is intact. N/A <br /> The ccoler or samples do not appear to have been compromised or True <br /> tampered with. <br /> Samples were received on ice. True <br /> Cooler Temperature is acceptable. True <br /> ' Cooler Temperature is recorded. True <br /> COC is present. <br /> True <br /> COC is filled out in ink and legible. True <br /> COC is filled out with all pertinent information. True <br /> Is the Field Sampler's name present on COC? True <br /> There are no discrepancies between the sample IDs on the containers and True <br /> the COC. <br /> Samples are received within Holding Time. True <br /> Sample containers have legible labels. True <br /> ' Containers are not broken or leaking. True <br /> Sample collection dateltimes are provided. True <br /> Appropriate sample containers are used. True <br /> Sample bottles are completely filled. True <br /> Sample Preservation Verified. NIA <br /> There is sufficient volfor all requested analyses,incl.any requested True <br /> ' MSIMSDs <br /> VOA sample vials do not have headspace or bubble is<6mm(1/4")in True <br /> diameter. <br /> Multiphasic samples are not present. True <br /> ' Samples do not require splitting or compositing. True <br /> Residual Chlorine Checked. NIA <br /> 1 <br /> 1 <br /> 1 <br /> 1 TestAmerica San Francisco Page 15 of 16 11/8/2011 <br />