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Alpha Analytical, Inc. Phone (775)355-1044 FAX (775)355-0406 Sample"Receipt Checklist Date Report is due to Client 9125/2003 Date of Notice 9117/2003 11 31 43 Please take note of any NO check marks If we receive no response concerning these items within 24 hours of the date of this nonce,all of the samples will be analyzed as requested Client Name Stratus Environmental Project ID Joes Truck Stop Project Manager Gown Kowtha Clients Phone (530) 676-6002 Clients FAX (530)676-6005 Work Order Number STR03091741 Date Received 9/17/2003 Received by Dolly S Baker Cham of Custody(COC) Information Carrier name FedEx r— Chain of custody present 7 Yes No Custody seals intact on shippping container/cooler? Yes ❑ No Not Presen r E Custody seals intact on sample bottles? Yes ❑ ❑ No Not Presen Chain of custody signed when relinquished and received? Yes n ❑ No Chain of custody agrees with sample labels'? Yes n ❑ No Internal Cham of Custody(COC)requested? Yes No Sub Contract Lab Used None W1 ❑ SEM Other(see comments) ❑ Sample Receipt Information Shipping container/cooler in good condition? Yes No Not Presen I Oamples in proper container/bottle? Yes No Sample containers intact? Yes No Sufficient sample volume for Indicated lest? Yes 0 ❑ No Sample Preservation and Hold Time HT Information All samples received within holding time? Yes 17 No Cooler Temperature Container/Temp Blank temperature in compliance(0-6°C)? Yes ❑ No 4°C Water-VOA vials have zero headspace/no bubbles? Yes ❑ No No VOA vials submitted f TOC Water-pH acceptable upon receipt? Yes n No NIA !-/� TOC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested? Yes ❑ No Are there client specific Project requirements? Yes ❑ BVI No If YES see the Chain of Custody(COC) Comments