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Jan 30 04 04: 00p Pa-tor Steve Kihlthau 2r-931 -6109 <br /> p. 7 <br /> "l':Cl{ti: t7F:'1 <br /> Stncl.<toll ('atii i(i'i,ira. 'ITS(i ti .I ec6ilit;(/{;tfa ti.,(n f:.`0-.( <br /> S�tmple.LZecsipt:atS':l'I�: � . . : . ;.� : ... .. . •' ::•. ; . . <br /> 1. Nut ithei of ire i:6c;:t:/paukn);as riast;ivC;Cl: : j) <br /> 2., Were samples receivr;.d&iti :a chill'ecT cortdittort? :Tbyrzps:.: •ice : /, j:. X <br /> Acccprttblc it abogr,ticc'linL Lo*G° C.,' Note:u.i'AIithc'uPc�ion i�c)'it illjlliitl:;vas 6N,U11 tic::atttPlcy rcccj4ru <br /> ::ame day of tutnpling. Samples ln.aY be C.eccived q j. if SW1ipler2rwithid'0 Sour of eecdi.F)6 . <br /> .3• Uo tlu: number ot'I,ottic; recuiv.cil ti};Me':with tliis`E:C2G2 No <br /> a <br /> 4. Were'sainplcsYeceived intact? (i:eno b'rokcn bottFes,'-kcaFks::etc:) Zyq <br /> 5. Were samgle custody seals :izitact?-- N/ yra <br /> . . No.: <br /> S'ir,n,and date the COC, place in,a plrtt in SYfc,,$hwe ice ,Ehc-Stas the rs les, ' <br /> satx4 Id..PeceiptReview couzpl4tcd by (ii>itiais): V . <br /> I Sample 12cec!pt Ott SP: S .. <br /> i• 1. <br /> Were s.received in 1 cEE11ed{contlition? Tcrnps:' /• % / / <br /> de re is above freccitig to;fi jG�tx,� i:•7riia 'j!yaekage5 are received at o,c time cheek for WMONs TNtT.'s/rushe„Baoti•s to <br /> ib6662e ft ther Y"iew. Plp:e noTGly/n1CYobie9oyY Par.nr,net iapnodiStety df b ac ti sampt 'ved - <br /> L 2. Ido the nlzrtiba%ofbottles receiy6d agree with the CO, rro l�j 4 . <br /> 3. Wcrc natnplesrc6rived intact?"(i.e.'no b'ro k'cx bottic:i;.l6aks ptc.)• <br /> 4: Were sample custody seals intacty <br /> Sit;n•and elate tltc COC, obtain L1MS cirtiplc solegt inethods/tests and print labels_ <br /> LSs ti le Verification, Labeling.nxtd Distrilrutio it <br /> Wr..t'o all-rogow,tcd analyccs-und'or::t6od and nccable? - No - <br /> :- '; . . . <br /> Il 2: '"::L?id bottle labels cort:espond with:the elieut's LD''s'? No <br /> 3. Wrrr: all bolrlw: rtaq,tiritig esunp[r 11rU::cxvati0'tt properly pruncz voc['. Nu <br /> �. 4, Wcrr. ;ill analyses *ithin bolding times' at`'timc-of zeceipt•? Nci <br /> S. I luvr. ru::h t,r l,ruj,?a dt,,c duce:,: bacu ,:11ut:kc<1 :rncl :Ir r.rlttc l'!. N/A <br /> Attach. l:Lhrl ; tri clic enat;iincr, and iilctitdr. n cnpy.of the C:C)C.:.For lith dvr. <br /> SaMp.le Xcl-ucipt, Login and Verilic;itiuil taotnyleitezl; by (irtiti.a(s): <br /> fti:;,:rri[innry 1)urtznuultatiuu: � . <br /> Any items above wi'iicli ;n•t: "NW, of ilti riot lituct sp,r.r:i[icatiolts (i.r„ [crop::) utuct he .t'cs:olvtal. <br /> PhoneidtttTlbct _..__:. <br /> L ltiitt;1.0. l i;Y <br /> .)•'rob k'. ._. .. (3_1@867) <br /> Stockton 3aptist Church PLATE 16 <br /> ke:,<,nitutr,r. Page 6 of 6 <br /> 1 SmY,033� 229 <br /> ` 5B-iy/i7/2003-19:02:04 <br /> 01/30/2004 FRI 16: 53 [TX/RX NO 82671 1@007 <br />