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F <br /> . •• 2-20-02; 11 : 18AM;Alp?)a AnalytiCal ;776 355 1044 # 1! 2 <br /> i <br /> • Alpha Analytical, Inc. <br /> Phone:(775)355-1044 - FAX:(775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client: 2128102 Hate of Notice; 2!20102 11:11:11 AM <br /> Please take note of any flop-Compliant check marks.If we receive no response concerning these items within 24 hours of the date of this <br /> notice,all of the samples will be analyzed as requested. <br /> Client Name Stratus Environmental <br /> Project 1D: 2007-065-011USA 65 <br /> i Project Manager: Gowri Kowtha Client's Phone (530)676.6002 Client's FAX (530)676-6005 <br /> Work Order Number: STRO2022029 pate Received:2120102 <br /> Received by: Graciela Navarrete <br /> Chain of Custod COC Information I <br /> Carrier name: Golden State Overnight <br /> E <br /> r <br /> i <br /> Chain of custody present? Yes ® ❑ No <br /> Custody seals intact on shippping container/cooler 7 Yes ® ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ <br /> ❑ No Not Present <br /> Chain of custody signed when relinquished and received? Yes ❑ No <br /> Chain of Custody agrees with sample labels? Yes 5r� ❑ Nan-Compliant <br /> Internal Chain of Custody(COC)requested? Yes ❑ ® No <br /> Sub Contract Lab Used: + <br /> None ® ❑ SEM Other(see comments) ❑ I I <br /> Sample Receipt Information <br /> Shipping container/cooler in good condition? Yes <br /> ❑ No Not Present ❑ <br /> • Samples in proper containertbottle? Yes <br /> ® ❑ Non-Compliant <br /> Sample containers intact? Yes ❑ No <br /> Sufficient sample volume for indicated test? Yes ® ❑ No <br /> Sample Preservation and Hnld Time H Information <br /> All samples received within holding time? Yes ® ❑ Non-Compilant <br /> CaniainedTem Blank tem P ( ) ® Cooler Temperature <br /> P temperature In compliance 0-6°C? Yes ❑ Non-Compliant 40C <br /> water-VOA vials have zero headspace? Yes ® ❑ Non-Compliant No VOA Wats submitted ❑ <br /> TOC Water-pH acceptable upon receipt? Yes ❑ ❑ No NIA <br /> TOC Samples should have a pH<2(H2SO4) <br /> Anal cal Re uirement Informatlon <br /> Are non-Standard or Modified methods requested? Yes ❑ W No <br /> Are there client specific Project requirements 7 Yes ❑ 0 No If YES:see the Chain of Custody(COG) <br /> Comments: <br /> • <br />