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Alpha Analytical, Inc. <br /> Phone. (775)355-1044 FAX:(775)355-0406 <br /> Sample Receipt ChecklistDate Report is due to Client: 814212003 Date of Notice: 8/4/20039-.14:15A <br /> 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 <br /> the samples will be analyzed as requested. <br /> Client Name Stratus Environmental Project ID: USA 56 <br /> Project Manager: Gowri Kowtha Client's Phone (530) 676-6002 Client's FAX (530)676-6005 <br /> Work Order Number STR03080202 Date Received: 81212003 Received by: Graciela Navarrete <br /> Chain of Custody(COC)Information <br /> Carrier name FedEx <br /> Chain of custody present 7 Yes 0 No <br /> Custody seals intact on shippping container/cooler 7 Yes ❑ No Not Presen ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Presen <br /> Chain of custody signed when relinquished and received? Yes ❑ No <br /> Chain of custody agrees with sample labels 7 Yes Ell] ❑ No <br /> Internal Chain of Custody(COC)requested? Yes 1:1 WNo <br /> Sub Contract lab Used: None O ❑ SEM Other(see comments) ❑ <br /> Sample Recei t information <br /> Shipping container/cooler in good condition? Yes 0 ❑ No Not Presen ❑ <br /> &amples in proper container/bottle? Yes ❑ No <br /> Sample containers intact? Yes ❑ No <br /> Sufficient sample volume for indicated test? Yes ❑ No <br /> Sample Preservation and Hold Time H7 Information <br /> All samples received within holding time? Yes 0 ❑ No Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6'C)? Yes 0 ❑ No 4-C <br /> Water-VOA vials have zero headspace I no bubbles? Yes ❑ ❑. No No VOA vials submitted <br /> TOC Water-pH acceptable upon receipt? Yes ❑ ❑ No NIA L J <br /> TOG Samples should have a pH<2(H2SO4) <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ 0 No <br /> Are there client specific Project requirements? Yes ❑ No If YES:see the Chain of Custody(COC) <br /> Comments: <br />