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1r Mr wxr--_.s.:...:�'ser- rF' — '---"'t^-... -•--7-- -may s-"�^"'--`-- '-.�.�..'."'"`f—�' '-"�.-�-""'-'"--.� -.r.-r-.�.i�.-^--'a""_._.—.. -....--. -..-_v....» <br /> I <br /> STL <br /> STS San Francisco <br /> Sample Receipt Checklist <br /> Submission #.2404- 0-3 - ' 3 ZQ <br /> Checklist completed by (initials) Date l /04 <br /> Courier name 0 STL San Francisco © Claent AB_LA- <br /> Not ✓ <br /> Custody seals intact on shipping containerlsamples Yes Nd Present <br /> Chain of custody present? Yes 'f Na <br /> Chain of custody signed when relinquished and receivecP Yes "r No E <br /> E <br /> Chain of custody agrees with sample labels? Yesj�'No <br /> Samples in proper containerlbottle? Yes <br /> Sample contalherstntact7 Yes_j�fNa. E <br /> Sufficient sample volume for indicated test? Yes K No <br /> All samples received within hoIdIng time? Yes—f,/No i <br /> Contalneraem Spank temperature in compliance 4o C#2? Te ° <br /> P p p � � p_ C Yes P"' No - <br /> lee Present Yes ,/,No <br /> . Water-VOA vials have zeroheedspaae? No VOA vralssu dted ,Yes;_k::�fNq <br /> (it'bubble is present, refer to apprwornate bubble size acid dernme In comments as 5(small-0), M ml5dfum- Q)or L(large- 0) <br /> Water-pH acceptable upon receipt? fYes 0 NO <br /> CI pH adjusted- Preservative used ©HN%C]HCt 0 HiSOa©NaOH-t3 ZnOAC ILottl(s) l <br /> s <br /> For any Item check-listed "No",provided ditall of dWc-repanoy In comritint¢ectjan beliyw- <br /> ' I <br /> Comments, - <br /> Project'Manegemelrtt [ROuting;Nr,ihstrudtion of indicated itia6ir0a64( 601 <br /> Project Manager (i'nlbals}�date 1 104 i 1 <br /> Client contacted 0 Yes E3 No F l <br /> Surntnary of <br /> u E ♦ 3� -� `ri <br /> 3 <br /> catrre�verAcfipri(perf'Mr,f{erit)• <br />