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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: 2/13/2006 Date of Notice: 2/10/2006 9:28:54 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. 2007-0065-01/USA 65 <br /> Project Manager: Gowri Kowtha Client's EMail: gkowtha®stratusinc.net <br /> Client's Phone: (530)676-6001 Client's FAX: (530) 676-6005 <br /> Work Order Number: STRO6021051 Date Received:2/10/2006 Received by:Tara Dickinson <br /> Chain of Custody(CDC)Information <br /> Carrier name: FedEx <br /> Chain of custody present? Yes IV] ❑ No <br /> Custody seals intact on shippping container/cooler? Yes 0 ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present ❑� <br /> Chain of custody signed when relinquished and received? Yes V ❑ No <br /> Chain of custody agrees with sample labels? Yes ❑ ❑ No <br /> Sample ID noted by Client on COC? Yes ❑ No <br /> Date and time of collection noted by Client on COC? Yes 0 ❑ No <br /> Samplers's name noted on COC? Yes 0 ❑ No <br /> qu <br /> rnal Chain of Custody(COC)requested? Yes ❑ ❑� No <br /> b Contract Lab Used: None ❑ ❑ SEM Other(see comments) ❑ <br /> Sample Hecelat Information <br /> Shipping container/cooler in good condition? Yes No Not Present ❑ <br /> Samples 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!-fold Time(HT)Information <br /> All samples received within holding time? Yes k ❑ No <br /> Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6'C)? Yes W ❑ No n/a°C <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ ❑ No No VOA vials submitted <br /> Sample labels checked for correct preservation? Yes W ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No NIA 91 <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ SJ No <br /> Are there client specific Project requirements? Yes ❑ No If YES :see the Chain of Custody(COC) <br /> Comments: Chain split into two different work orders due to different TAT's. <br />