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' Login Sample Receipt Checklist <br /> ' Client:Kleinfelder Inc Ifv <br /> Job Number:720-38859-1 <br /> ' Login Number:38859 <br /> List Number:1 List Source:TestAmerica Chicago Creator:James,Jeff A List Creation:1112311101:57 PM <br /> ' Question Answer Comment <br /> Radioactivity either was not measured or,if measured,is at or below True <br /> background <br /> The cooler's custody seal,if present,is intact. True <br /> ' The cooler 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. 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 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 <br /> VOA sample vials do not have headspace or bubble is<6mm(1/4")in N/A <br /> diameter. <br /> Multiphasic samples are not present. True <br /> ' Samples do not require splitting or compositing. True <br /> Residual Chlorine Checked. N/A <br /> TestAmerica San Francisco <br /> Page 16 of 16 12/1/2011 <br />