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jsckl Job Sample Receipt Checklist Report V2 <br /> 12/28/1999 <br /> Job Number 992708 Location 57218 Customer Job ID Job Check List Date 12/28/1999 <br /> Project Number 97000250 Project Description Southland - Martinez Protect Manager tas <br /> Customer IT Group Contact Rhonda Teicheira <br /> ' Questions 7 (Y/N) Comments <br /> Chain-of-Custody Present) Y <br /> If "yes", completed properly? Y <br /> Custody seal on shipping container'? N <br /> If °lyes", custody seal intact? N <br /> Custody seals on sample containers? N <br /> If "yes", custody seal intact? N <br /> Samples chilLeO Y 3 <br /> perature of cooler acceptable? (4 deg C +/- 2) Y <br /> Temperature measured from temperature blank? N <br /> ' Samples received intact (good condition)? Y <br /> Volatile samples acceptable? (no headspace) N/A <br /> Correct containers used) Y <br /> Adequate sample volume provided? Y <br /> Samples preserved correctly? N/A <br /> Samples received within holding-time) Y <br /> Agreement between COC and sample Labels? Y <br /> open cooler radioactive screen at or below bkgrd?' <br /> AdditionaL <br /> I <br /> 0mments <br /> i I <br /> 5ample Custodian Signature/Date { <br /> Page 1 I <br /> II <br />