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=-STL <br /> 5TH San Francisco Sample Receipt Checklist <br /> * Submission <br /> Checklist completed by: (initials) Date', 11 d9ltki <br /> Oburier name, 0 STL San Francisco CICII 6'nt <br /> Not <br /> C�tWody seals intact on s��Co iner/samples Present <br /> n t <br /> Chain of custody.piroent?" <br /> YesNo <br /> Chain of custody signed when refinquimhed.and received? Yes,r�Alo <br /> Chain of CujlWy agree$Y�fth S, <br /> am I label t? Yes_ N6 <br /> -Samples in proper conjainerfttJJa? <br /> 'Sarrl-ple containers intact? yes ---"NO <br /> Surflicient sample Volume for indic.�6ted.leat?r Y6--Z,'No__ <br /> All:Sample.s rec6ved within holding time? Yes No <br /> C6ntalndr/Terho Blank.temperature in comoliance(40 C±2)? <br /> Ternp:_ C Yes No <br /> lcg Preseht Yes__ No <br /> Water-VOA vials have zero heiadspke! trio VCA vials sybrrllttedYesNo <br /> (if bubble is present,refer to apprdxiniate'bubbla sze:and itemike iri comments as <br /> Water-pH acceptable upon receipt".? OYes ONo <br /> 0 pH adjusted-- Preservaflv6 used, (3HNOjOHCI OH040�qi6HOZnOAc—Lot#S <br /> 2s <br /> For any item check-listed "No".provided detail ofdlscjt-p4ncyincdMiodritsedffohbbfow:, <br /> Comments: <br /> Project Management [Routing for Instruction of fin' dicafed-tfilsc'repanc {les)] <br /> Project Manager, (initials) bate.- /04 <br /> Client contacted: 0 Yes El No <br /> Surnmary of discussion: <br /> Corrective Action(per PM/Client): <br />