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S <br /> F <br /> TL <br /> STL:$a n Francisco f <br /> ` a Ple=-R�ce�� t ��eckls# <br /> Submission *20014m. <br /> Checwist completed-by.(mWT_ Date: � T/1 104' i <br /> Courier r 4hIa;:-C}'STL:S 6 FCS de c u I Chant t <br /> Custady's,Ws in c!on 000GonfaEri@rl deg Yes• I <br /> "bio Present <br /> ChWn.of"custay present? Ytls -Nom <br /> a <br /> Cheltt of Ciustc dy signed.vvhdii i elinquisr%eii arid.reteNod7 ! Yes No ' <br /> F <br /> I <br /> Chain:of,,custody-egrees With:sam-pW tabi ts? i Yes,., 1p <br /> Sam pleS'irr prpar coritanerlbn#i1a7. 1 YdsQ. <br /> Samtpfe r�ontatr�e frhCt?" ] <br /> } =Y'as; No E <br /> "cient sample vDIurne'for.indicated test? -- <br /> - i <br /> All'88tnples r(oeived kh6 hoidirig tier e7 Yes " lrr 1 <br /> t <br /> CdrrtainerfTera'tp'Blank.temp@nature in cii p(ia e;(4° 2}?.` i' P `. �C. Yds Nc► { <br /> . .. B <br /> lce PrF3sent Yds° No <br /> Water-VQA visls'have zem,head*ace? t+1t1:WDA visit3_st ti3liit#r tl Yes,: No <br /> [ifibubble Is-present,mforto appr*xImate butabWsize—gnd;ite7nke'in:tor rIZ eti}s-as: --,U),nll rriedl4rr -Q)or:t_QaIrge-- 0) <br /> water-.pH,acceptable�spon rece�Ep�?. �I;Y s. d No . <br /> ply E <br /> ©PH ad usted- Preserva wev .uw: a HNO 0 HCl U fq2SC la OI OH 0: ...O" c�n#' s <br /> IFotanyltem check4iisted °`No',provided defait of-disdmpancy.fn:cbmrooilt-b� tton_bOToW:� <br /> GQr�rniertts . <br /> Prgj ct:Mana emen.t Raufin/wy for instruction of indicate *`scre arta■/ Ids <br /> Prat Manager. {initials} date: 1 164 {{� <br /> Ciiiant contacted., A Yes CI No, i <br /> Surnmary o . iscsssslon: <br /> Corrective Action(per PwcRent): <br /> . j F <br /> i � r <br /> i' <br /> j n <br /> i <br />