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STL <br /> STL San Francesca <br /> � Sample receipt checklist <br /> Submission #.2004- <br /> Checklist rnmplstPCi by (milials) Date r �f Ifl4 <br /> r:ninaive X <br /> STL San Francisco Ll Client, <br /> wustodY seals iniaci on shipping mntairierfsarnpte Igo! <br /> YeuNo Present <br /> Chain of custody pr>wwrit) Yes No <br /> Chain of custody signed Mien telinqurshed and received? Yea � No <br /> Chain of rustooy agrees with sample labels" Yes --�No <br /> Sampos in proper containerlbottle? Yes �-- No <br /> Samplr Containers inracV Yrs NQ <br /> Sufficient sample volurne for indicated test> Yes No <br /> All samples received within holding time? Yes �Q <br /> EapI1l�dCerl i @rr!f lad $fn eratre a — U 3 t �. Y{F <br /> urA�� pv ,ti ? I �t.rr -+�� --I � <br /> � <br /> i ,�,*n `--t' Y" tj-� r-3.., ^.. 4F"'� 9 NP! Y;S>Sh'Y'� <br /> fkb eml'Wreasnn_i6 d3 c �tc�ta itedcE Icell�" bags Int- t o e actg <br /> u ," x <br /> ptBCell �Z�� n¢`fie� x��r yr1t3� $i�F a 7 <br /> e P r " _ t <br /> r:�� , £>t <br /> �--'`' :�.G�'% <br /> Water-VOA vials have zero heacispace? No VOA Ovals submitted Yes , No <br /> (if bubble is present refer to approximate bubble we and itemize in comments as 5 (small-0). M{medium, 0)or L(large - 0) <br /> Water-pH acceptable upon mccipt? O Yes ❑ No <br /> 0 pH adjusted- Preservative used © HNOi 0 HCI ©11i 804❑NaOH a ZnOAc--Lot#(s) <br /> For any item Check-listed "No".provided detail of discrepancy in comment section balow. { <br /> Comments, t <br /> a <br /> z <br /> � I <br /> k° <br /> rt <br /> 1 <br /> Project Management [Routing for instruction of indicated discrepanc�r esl <br /> Project Manager (initials) date 1 104 Client contacted 0 Yes U No � <br /> Summary of discusston I <br /> i <br /> .Corrective Amort(per PWC[lent� <br /> i' <br /> fc � <br /> I <br /> k <br /> 1 <br /> Z <br />