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Analytical, Inc, • Phone.(775)355-1044 FAX : (775)355-0406 Sample Receipt Checklist Date Report is due to Client: 1130103 Date of Notice: 1122103 10:02:06 AM 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 the samples will be analyzed as requested. Client Name Stratus Environmental Project ID : 2007.00951 USA 65 Project Manager: Gowri Kowtha Client's Phone (530)676-6002 Client's FAX (530)676-6005 Work Order Number: STR03012224 Date Received:1122103 Received by: Graciela Navarrete Chain of Custody(COC)information Carrier name: FedEx Chain of custody present? Yes No Custody seals intact on shippping container/cooler? Yes No Not Present Custody seals intact on sample bottles? Yes _I No Not Present Chain of custody signed when relinquished and received? Yes No Chain of custody agrees with sample labels? Yes J No internal Chain of Custody(CDC)requested? Yes No Sub Contract Lab Used: None SEM Other(see comments) Sample Receipt Information • Shipping containertcocier in good condition? Yes No Not Present Di Samples in proper container/bottle? Yes No Sample containers intact? Yes V No Sufficient sample volume for indicated test? Yes s No Sample Preservation and Hold Time JHT Information All samples received within holding time? Yes No Cooler Temperature Container/Temp Blank temperature in compliance(0-6°C)? Yes .✓ No 4°C Water-VOA vials have zero headspace 1 no bubbles? Yes No No VOA vials submitted ❑ TOC Water-pH acceptable upon receipt? Yes i No N/A r�Cl TOC Samples should have a pH<2(H2SO4) Analytical Requirement Information Are non-Standard or Modified methods requested? _ Yes No Are there client specific Project requirements? Yes lam° No If YES:see the Chain of Custody(GOC) Comments: