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Jan 30 C4 C4: Olp Pa- ^-or Steve Kihlthau 217�-531 -6109 p . 13 <br /> (fir, inu't1iD:,'..101MI.III) _ i ;ir;(r.'c .1 o-[ <br /> titoca<tu)r. (.:rrzt+c z' i`i,,it l'rpt tS .I2eceiPf:(lrttaf:Ii:tb COO <br /> 5atxzplc Recetpt,at5'1,1�: ; •' .'� �, . ', <br /> 1 . NUII11)t7 Ul•ICC ttltt l:/p"It jt u,, AoC <br /> c8r„4ivcal,: <br /> 2. VJeitisample's recciwdd .iii:<i'chiFlc3conditi-64011Te-nps:•. C, j; : (`• ' '` ?__`^ y ' <br /> Arerptable is lbuxe kcazjnl, tti 6”r., Notc,v AC?i'(;ifr'oYcd tin irc).if'chilliil!-S:�4a Ix Cin !'or.canlpler recgivrt! <br /> snnicdayofsiimpling. S7mplesiruy'be,iaeeivelwithr�ittcpytitigxfsai-,i[elect:withilionr, hourofceceip.t•: , <br /> 3. 1.)u tht: ntilnbcr o('b0W , rccoivc'd it rc a vvitl� fixe` C2C:?. E es No N/A., <br /> 4. Were .saiitples'reeeived intact? (i:e. no tiroken=bott}es �at<s, Cte:): Yes No <br /> f 5. Wele salnpleutstodyse..3Is.itxr�lct7,., lV/ e .: No.. <br /> 4. Signjand data the COC,place in,a ziplock;and pu. ; in ti1c ,sarrie'it:e clxest as the Samples. <br /> i Sample&6ceiptRevicw gomPltlted by (iil'itialici l tJa . <br /> II Sample RecoiPt at SP: f <br /> ` 1. Were salnplt:it received ill ;x chi!)ecl';conditiort? ` omps:' <br /> .ACcoptabfe is'above frey Pagas are received at ope tirgh check for tuc:/H:T.•s/rushes/B acre - <br /> '� )iriACi riac turtAcr rcvirw. Yle�se nb-li L}r lvYrarob9Y)lopy persoAngt imnoedi,ttely of baGti Sanfple 'Ved. ; <br /> 2. Ido the nuber•ofbottics reccived;agree with the COC? ':: ( Yd? No N/A <br /> 3. Worr. samples roCt ivcd intact'!'(i.c:'no lyfokt n bottbo+ry'lcaks etc.). Yew No <br /> .4. Wcrc'sample custody Seals izit3ct� Al Z' Ino•, <br /> SiLin-ilrui date tl1c CAC, obtain UMS ..I riplc snurxibc>s, solact metliods/tests and print lab cls, <br /> S3Ftiplc Verification,habelirxg.'afisl Distribntio ?' <br /> 3b'1'r .Chic..tctl :ulalyncc aitdcrttt6od and aeccj^ nblc? No <br /> 7.: .:; r�.fd bottle labels corrcapond witkt:tha'clicixt's XD's7 <br /> Y a No <br /> �. <br /> Wr O all buttlae: n,quirwl; q:unplr lire::cavation'l rr>Ilcrlyllrtx;rltvc.t[: No N/A. 1't..i'E. <br /> 4. Were all anal.yscs Within hpldiw, times.at'tilzte of.tedpipt? Y NO <br /> S. EL;tvt. nu:h or ltruj va't1 r, 'lit bnatt,tay.:cicctl allCI :teed tctl,'/ . N/A Yu;:..'srf tri <br /> Attz :11.Ltgrls tO thr i:nnhtirtcrS and Uiclude a copy of the COC hi& Ciel' e <br /> Sample Re=cti t, L:ogjit akid W-1-i.livatio!t eutngletr:d [iY (t•nitia(::): <br /> P P , <br /> 1 f)i.r•r.ralianr}� l)ui:ntlu:ulatiun: - <br /> Any ite;rru;.abnvu which act. "N'ta" or t�'ti rtot rhejuC 5l)r.:iatt :f(lOtl:d (i.r:, toatn}tt:) utast he tgsulved. <br /> 1 . F'e:rr.tu'I f 'nntnr.tcJ: Phune Numhe.r .__.- <br /> LluifiaUa! I:Y I title. <br /> F't'til t lr:;n (3-10867) <br /> Stoc?cton B3pt1St Chach PLATE 17 <br /> R t;!:o 11.1 t it l(I Page 6 of 6 <br /> ` - STK0337234 <br /> Y 58-11/=7/2003-19:02:05 <br /> 01/30/2004 FRI 16:53 [T1/R1 NO 82671 0013 <br />