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i " r Alpha Analytical, Inc. Phone (775)355-1044 FAX (775)355-0406 Sample Receipt Checklist Date Report is due to Client 6/9/2003 Date of Notice 5/30/2003 11 25 27 Please take note of any NO check marks If we receive no response concerning these items within 24 hours of the date of this notice,all of the samples will be analyzed as requested Client Name Stratus Environmental Project 1D 2009-14261113C Project Manager Gown Kowtha Clients Phone (530)676-6002 Client's FAX (530)676-6005 Work Order Number STR03053044 Date Received 5129/2003 Received by Dolly S Baker Chain of Custody(COC)Information Carrier name Alpha Employee Chain of custody present? Yes `vll No Custody seals intact on shippping container/cooler? Yes No Not Presen Custody seals intact on sample bottles? Yes No Not Presen Chain of custody signed when relinquished and received? Yes {1 No Cham of custody agrees with sample labels? Yes I1 n No Internal Chain of Custody(COC)requested? Yes n W No Sub Contract Lab Used None 5Z n SEM Other(see comments) n Sample Receipt Inform_ anon hipping container/cooler in good condition? Yes ./I n No Not Presen Samples in proper container/bottle? Yes n No Sample containers intact? Yes V n No Sufficient sample volume for indicated test? Yes W No Sample Preservation and Hold Time HT Information All samples received within holding time? Yes W n No Cooler Temperature Container/Temp Blank temperature in compliance(0-6°C)? Yes rte] n No 40C Water-VOA vials have zero headspace 1 no bubbles? Yes 17 No No VOA vials submitted n TOC Water-pH acceptable upon receipt? Yes No NIA TQC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested? Yes n iii No Are there client specific Project requirements? Yes ❑ W No If YES seethe Chain of Custody(COC) Comments Samples received late Thursday 5129103 kept cold&secure unitl log-in Friday 5130103