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Login Sample Receipt Clteck List <br /> Job Number:720-31690-1 <br /> Client:Kleinfelder Inc <br /> List Source:TesfAmerica Chicago <br /> Login Number:31690 List Creation:11110110 12:05 PM <br /> Creator:Kelsey,Shawn M <br /> List Number:1 <br /> T/F/NA Comment <br /> Question <br /> t Radioactivity either was not measured or,if measured,is at or below True <br /> background True <br /> The cooler's custody seal,if present,is intact. <br /> The cooler or samples do not appear to have been compromised or Two <br /> tampered with. True <br /> Samples were received on ice. <br /> Cooler Temperature is acceptable. True <br /> Cooler Temperature is recorded. True <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 Sampler's name present on COC? True <br /> There are no discrepancies between the sample IDs on the containers and Two <br /> ' the COC. 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. True <br /> Sample bottles are completely filled. True <br /> Sample Preservation Verified True <br /> There is sufficient vol.for all requested analyses,incl.any requested True <br /> MS/MSDs True <br /> VOA sample vials do not have headspace or bubble is 46mm(1/4")in <br /> diameter. True <br /> If necessary,staff have been informed of any short hold time or quick TAT <br /> needs True <br /> Multiphasic samples are not present. <br /> Samples do not require splitting or compositing. True <br /> r <br /> TestAmerica San Francisco <br /> Page 16 of 16 11/16/2010 <br />