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E` <br /> i STL <br /> STL San Fran isco <br /> . Sample Receipt Checklist <br /> Submissions :2004- U� - X2)0 <br /> Checklist ramplete (initials) Bate -__L�1 104 <br /> Courier name 5 San Francisco © Client <br /> � Not <br /> Custody seals freta n shipping containerfsamples YesNo Present <br /> Cham of custody pr rant? Yes No <br /> Chain of custody siged when relinquished and received? Yes !" Nq <br /> Chain of custodyag es with sampte labels? Yes kl,-No <br /> Samples in proper ntarner/bottle? Yes No <br /> e <br /> Sample contalners t tact's Yes � No <br /> Sufficient sample v me for indicated tests Yes No <br /> All samples receive within holding time? Yes c/ No <br /> Containerfremp Bia k temperature in compliance(40 C}2)7 Tc mp�,,G Yes,�t4o <br /> I Ice Present Yes_�/ o__- <br /> Water-VOA vials h e zero headspace? No VOA vials ubmitted— Yes !/ No <br /> (if babble is present or to approximate bubble stze and itemize in comments as S (small—O), 11(medium-- O)or t_(targe- 0) <br /> Water-pH accepts le upon receipt? 0 Yes © No <br /> 0 pH adjusted— P ervative Aised D H N 03L 0 MCI 0 H2SO,1 C] NaOH 13 2nOAc—Lt t#(s <br /> For any item cher fisted "No", provided detail of discrepancy Inc01hrnant section allow <br /> comments- <br /> Project Mana ment [Routing for instruction of indi6ated discpati yi;iesy) <br /> Project Manager rtibals� Date 1 104 <br /> i <br /> Client contacted Yes 0 No <br /> t <br /> Summary of disct�" ion <br /> • Corrective.Action (p r f MlCl;ent) <br /> i <br /> { <br /> i j <br />