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STL <br /> STL San. Francisca <br /> SaT le e ei t Checklist <br /> J <br /> Submission 1 .2004- � <br /> Checklist completed by: (initials) Date, ' 1 104 <br /> Courier name. D STL San I'mncisco C1 ClIent—A9) [ C C—C <br /> Not <br /> Custody seals Intact on shipping coRtMnerrsampl.es Yes Na Present L-1" <br /> i; <br /> Chain of custody present's <br /> Chain of custody signed when relinquished and reeeived? <br /> Chain of custody agrees vwiih sample labels? Yos-ZNo ! <br /> I <br /> Samples in proper containerfhottle? Yes �No <br /> t <br /> Sample containers Intact? Yes,ZNo <br /> Sufficient sample volume for indicated teat? °s N° <br /> All samples received within hnlding Hrne? <br /> C <br /> ContainerlTernp Blank temperature in compliance(40 C*2)? T nfr:Z_,r C Yes_J.LNo_ _ <br /> Ica Present Yes V No <br /> 's <br /> Water-VOA vials have zero hsadspace7 No VQA vials sl-ibrnitted Yes 1 <br /> i <br /> (if bubble is present, refer to approximate bubble size and itemize in comrn ilts as S (srn�ll-�i. 1VI (medl�rm i (])or t_(large- 0) <br /> Wal�:r-pH acdeptable upon reoelpt? p "'s Tl Na <br /> 0 psi adjustad- Preserrative users: D HNQ,3❑HCl 0;H7SO4❑NafiH 11 Zn Oft Lat#(s) i <br /> i <br /> For any Merit check-Ilstl6d "No", provided detall of d[sprepancy In comment sectlon below: <br /> Comments: <br /> i <br /> Project Mana.geMent [Routing for instructfon of indica#ed d!$cropanc +{ s)] <br /> project Manages, CCnitials) Date_ <br /> Client contacted.. ❑ YOs p No <br /> Summary of discussion_ <br /> i <br /> l <br /> i <br /> Cerrectiue Action(per PtOlClieni): <br /> 1 <br /> I <br /> i <br />