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10 <br /> ST L <br /> STL San Francisco <br /> . Sample Receipt Checklist <br /> Submission #:2443- 1 'z- <br /> Checklist completed by (initials) . �� Dale �_! 13 rq3 <br /> Courier name 3�'STL San Francisco 0 Client <br /> Custody seals intact on she Not <br /> l �" pp�nq c ontainerlsarnples Yes No Preejent--/— <br /> Chain of custody present? Yes Y No <br /> Chain of Custody signed then relinquished and receive:9 Yes No_ <br /> j Cham of custody agrees with sarnpl3e labels? Yes V"No <br /> - <br /> Samples in Pioper aontaonerlbottle? <br /> f Yes No <br /> Sample containers inlact7 Yes �No <br /> Sufficient sample volume for indicated test's Yes �No <br /> All samples received mthin holding$trite? Yes -�No <br /> ContainerfT'errmp dank temperature�in comphancb (40 C 2y> Ternp2- -C Yes No <br /> r <br /> Ice Present yes No_. <br /> Water-VOA vials have zero headi;Pace? <br /> No VOA vials submitted Yes_IZNts <br /> h <br /> k <br /> i <br /> (If Hubble is present,refer to approX,mate bubble size and itemize on comments as S(small-0),M(medium -- Q)or L(large-- ) <br /> Water-plot aacopt�able upon receipt? ©Yes © No <br /> 0 PH adjusted– PreservAhve used ® HNO:j 0 HCl 0 H;Sa4❑NOOH 0 ZnOAc–Lot#(s) <br /> For any item check-fished "fro", rovided detail of discrepancy in comment section below <br /> Comments: <br /> i <br /> Project Management (Routing forinstruction of indicated discrepancy(ies)) <br /> Project Manager lrinttlais) � Date ! 103 <br /> Client contacted 0 Yes 13 N <br /> Sbmraary of discussion <br /> 3 <br /> Corrective Aatcon(per PIM/Client), <br />