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i <br /> • Login Sample Receipt Checklist <br /> Client:Kleinfelder Inc Job Number:720-42156-1 <br /> Login Number:42156 List Source:TestAmerica Chicago <br /> List Number:1 List Creation:05117112 02:23 PM <br /> Creator:Lunt,Jeff T - - <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. m <br /> Samples are received within Holding Time. True <br /> Sample containers have legible labels. True <br /> Containers are not broken or leaking. True <br /> • <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. 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 True <br /> diameter. <br /> Multiphasic samples are not present. True <br /> Samples do not require splitting or compositing. True <br /> Residual Chlorine Checked. True <br /> TestAmerica Pleasanton Page 16 of 16 5/22/2012 <br />