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Login Sample Receipt Checklist <br /> Client: Environmental Cost Management, Inc. Job Number:720-36065-1 <br /> Login Number:36065 List Source:TestAmerica San Francisco <br /> List Number:1 <br /> Creator:Apostol,Anita <br /> Question Answer Comment <br /> Radioactivity either was not measured or,if measured,is at or below <br /> background <br /> The cooler's custody seal,if present, is intact. <br /> The cooler or samples do not appear to have been compromised or <br /> tampered with. <br /> Samples were received on ice. <br /> Cooler Temperature is acceptable. <br /> Cooler Temperature is recorded. <br /> COC is present. <br /> COC is filled out in ink and legible. <br /> COC is filled out with all pertinent information. <br /> Is the Field Sampler's name present on COC? <br /> There are no discrepancies between the sample IDs on the containers and <br /> the COC. <br /> Samples are received within Holding Time. <br /> Sample containers have legible labels. m <br /> Containers are not broken or leaking. <br /> Sample collection date/times are provided. <br /> Appropriate sample containers are used. <br /> Sample bottles are completely filled. <br /> Sample Preservation Verified. <br /> There is sufficient vol.for all requested analyses,incl.any requested <br /> MS/MSDs <br /> VOA sample vials do not have headspace or bubble is<6mm(1/4")in <br /> diameter. <br /> Multiphasic samples are not present. <br /> Samples do not require splitting or compositing. <br /> Residual Chlorine Checked. <br /> TestAmerica San Francisco <br /> Page 38 of 38 07/20/2011 <br />