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Alpha Analytical, Inc. Phone:(775)355-1044 FAX: (775)355-0406 . Sample Receipt Checklist Date Report is due to Client-. 81612003 Date of Notice : 7129/2003 9:42.41 A 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: USA 65 Project Manager: Gowri Kowtha Client's Phone (530)676-6002 Client's FAX (530)676-6005 Work Order Number STR03072924 Date Received:712912003 Received by: Graciela Navarrete Chain of Custody COC Information Carrier name AAl ha Employee Chain of custody present? Yes R] ❑ No Custody seals intact on shippping container/cooler? Yes ❑ ❑ No Not Presen Custody seals intact an sample bottles? Yes ❑ ❑ No Not Presen Chain of custody signed when relinquished and received? Yes ❑�/ ❑ No Chain of custody agrees with sample labels? Yes 21 ❑ No Internal Chain of Custody(COC)requested? Yes ❑ 91 No Sub Contract Lab Used: None d❑ ❑ SEM Other(see comments) ❑ Sample Receipt Information Shipping container/cooler in good condition? Yes ❑ No Not Presen ❑ 0Samples in proper container/bottle? Yes ❑. No Sample containers intact? Yes 0 ❑ No Sufficient sample volume for indicated test? Yes ❑ ❑ No Sample Preservation and Hold Time(HT) Information All samples received within holding time? Yes R] ❑ Na Cooler Temperature Container/Temp Blank temperature in compliance(0-6`C)? Yes RJ ❑ No 40C Water-VOA vials have zero headspace 1 no bubbles? Yes ❑d ❑ No No VOA vials submitted ❑ TOC Water-pH acceptable upon receipt? Yes ❑ ❑ No N/A W TOC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested? Yes El RI No Are there client specific Project requirements? Yes ❑ No If YES:see the Chain of Custody(COC) Comments : r