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Alpha Analytical, Inc. <br /> Phone:(775)355-1044 FAX:(775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client: 812712003 Date of Notice: 8/19/2003 9:29:49 A <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 6512007.0065 <br /> Project Manager: Gowri Kowtha Client's Phone (530)676-6002 Client's FAX (530)676-6005 <br /> Work Order Number: STR03081902 Date Received:8/1912003 Received by: Heidi Eskew <br /> Chain of Custody(COC) Information <br /> Carrier name FedEx <br /> Chain of custody present? Yes FV] ❑ No <br /> Custody seals intact on shippping container/cooler? Yes No Not Presen <br /> Custody seals intact on sample bottles? Yes F ❑ No Not Presen r <br /> Chain of custody signed when relinquished and received? Yes FI/] n No <br /> Chain of custody agrees with sample labels? Yes FV1 ❑ No <br /> Internal Chain of Custody(COC)requested? Yes U U No <br /> Sub Contract Lab Used: None ❑d ❑ SEM Other(see comments) n <br /> Sample Receipt Information <br /> Shipping containericooler in good condition? Yes ❑ No Not Presen40 <br /> n <br /> amples in proper container/bottle? Yes ❑ No <br /> ample containers intact? Yes �J ❑ No <br /> Sufficient sample volume for indicated test? Yes II ❑ No <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑ No <br /> Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6"C)? Yes n ❑ No 40C <br /> Water-VOA vials have zero headspace 1 no bubbles? Yes F. ❑ No No VOA vials submitted ,7vi <br /> TOC Water-pH acceptable upon receipt? Yes n P No NIA n <br /> TOC Samples should have a pH<2(H2SO4) <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ n No <br /> Are there client specific Project requirements? Yes n n No if YES:see the Chain of Custody(COC) <br /> Comments: <br />