Laserfiche WebLink
® STL <br /> STL San Francisco <br /> �Q <br /> Sample Receipt Checklist <br /> bmission #:2003- - l 5/ <br /> Checklist completed by: (initials) Date: 031 iJ 103 <br /> ' Courier name: ❑ STL San Francisco 111161ient <br /> Not <br /> Custody seals intact on shipping container/samples Yes Na Present <br /> ' Chain of custody present? Yes ✓ No <br /> Chain of custody signed when relinquished and received? Yes --"No <br /> ' Chain of custody agrees with sample labels? Yes -,- No <br /> Samples in proper container/bottle? Yes --'-No <br /> ' Sample containers intact? _ Yes %./No <br /> Sufficient sample volume for indicated test? Yes -,""No <br /> ' All samples received within holding time? Yes ✓No <br /> Container/Temp Blank temperature in compliance(40 C y 2)? Temw�°C Yes ✓ No <br /> ' Water-VOA vials have zero headspace? No VOA vials submitted Yes V'-' <br /> No <br /> I*ubbie is present, refer to approximate bubble size and itemize in comments as S (small -O), M (medium- O) or L(large- 0) <br /> Water-pH acceptable upon receipt? EIYes 11 No <br /> ❑ pH adjusted- Preservative used: ❑ HNO3❑ HCI ❑ H2SO4❑ NaOH ❑ ZnOAc <br /> For any item check-listed "No", provided detail of discrepancy in comment section below: <br /> ' Comments: <br /> Project Management (Routing for instruction of indicated discrepancy(ies)] <br /> Project Manager: (initials) Date: 1 1Q3 <br /> Client contacted: ❑ Yes ',:: No <br /> Summary of discussion: <br /> ' Corrective Action (per PM/Client): <br />