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�'isckL Job Sample Receipt Checktist Report V2 <br /> o1/za/z000 <br /> Job Number 200208 Location 57218 Customer Job ID Job Check List Date 01/28/200D <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer IT Group Contact Rhonda Teicheira <br /> Questions 9 (YIN) Comments <br /> ' Chain-of-Custody Present? Y <br /> ' If "yes", completed properly) Y <br /> Custody seat on shipping container? N <br /> If "yes", custody seal intact) N <br /> Custody seals on sample containers' N <br /> If "yes", custody seal intact? N <br /> Samples chilledl - Y 3 <br /> perature of cooler acceptable? (G deg C +/- 2) Y <br /> Temperature measured from temperature blank? N <br /> �! Samples received intact (good condition)? Y <br /> y� Volatile samples acceptable' (no headspace) Y <br /> Correct containers usedl Y <br /> ! Adequate sample volume provided? Y <br /> Samples preserved correctly? Y <br /> Samples received within holding-tamer Y <br /> Agreement between COC and sample Labels? Y <br /> open cooler radioactive screen at or below bkgrd? <br /> Additional - <br /> 1 <br /> omments <br /> sample Custodian Signature/Date Y <br /> E Page 1 <br />