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Alpha Analytical, Inc • Phone (775)355-1044 FAX (775)355-0406 Sample Receipt Checklist Date Report is due to Client 2/21/2003 Date of Notice 211 312003 4 27 16 P 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 ID IBC Protect Manager Gown Kowtha Client's Phone (530) 676-6002 Client's FAX (530)676-6005 Work Order Number STR03021345 Date Received 2113/2003 Received by Dolly S Baker Chain of Custody(COC) Information Carrier name FedEx Chain of custody present? Yes ❑ No Custody seals intact on shippping containerlcooler? Yes No Not Presen n Custody seals intact on sample bottles? Yes n No Not Presen Chain of custody signed when relinquished and received? YesNo Chain of custody agrees with sample labels? Yes 17V ❑ No Internal Chain of Custody(COC)requested? Yes ❑ No Sub Contract Lab Used None L71� ❑ SEM Other(see comments) n Sample Receipt Information hipping container/cooler in good condition? Yes No Not Presen Samples in proper container/bottle? Yes n } No Sample containers intact? Yes No Sufficient sample volume for indicated test? Yes ❑ No Sample Preservation and Hold Time HT Information All samples received within holding time? Yes ice] 7 No Cooler Temperature ContainerlTemp Blank temperature in compliance(0-6°C)? Yes V] n No 4 OC Water-VOA vials have zero headspace I no bubbles? Yes n No No VOA vials submitted n TOC Water-pH acceptable upon receipt? Yes n n No NIA W1 TOC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested? Yes n ',/1 No Are there client specific Project requirements? Yes ❑ id] No If YES see the Chain of Custody(COC) Comments