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i <br />' Sample Receipt 1 Client Notification Form <br /> SIERRA <br /> Name rA-A -K. _ <br /> SIERRA Sierra Project Number -1 -704 — 2-1 <br /> LABORATOPiEs <br /> Sierra Project Manager <br /> Date 1 Time Samples Received _ -f J C -7 <br />' Method of Shipment UPS <br /> Custody Seals' NIA Intact Broken <br /> Samples Intactl Yrs <br /> Properly Labelled") <br /> Appropriate Containers yES <br /> Headspace In VOA vials'? /)0..,/� <br /> Samples Chilled? (Cooler Temp °C) 4 G- <br /> Properly Preserved' (pH) yv-S <br /> Preservatives added (after receipt by Sierra) _ W/,A <br /> Sample Disposal Instructions L— 3rs o L <br />' Turn Around Time Requested <br /> Subcontractor Laboratories to be utilized A <br /> ' Special Instructions RfL„oa, 0d= Gl-fx,-A-T-pGs� S <br /> Other Anomalies _ ,tif f} <br /> Date/Time Faxed to Client GI <br /> ' Samples Logged in by <br /> Printed Name �n/—g A laz._ If 12n <br /> ' If you have any questions, please refer to the Sierra Project Number referenced above <br /> -Samples are only retained for 30 days if marked for Lab Disposal Other charges may apply for other disposal options <br /> -Rush surcharges will be applied to Turn Around Times other than Normal,except by prior arrangement with Sierra Labs <br /> 26052 MERIT CIRCLE SUITE 105, LAGUNA HILLS CALIFORNIA 92653 <br /> ' TELEPHONE (714) 348-9389 FAX (794) 348-9115 <br />