Laserfiche WebLink
'r Clvrarca <br /> nWranmental <br /> ALaborarorlea. Inc. WORK ORDER #: 04 - 21E - F010[2�ij <br /> 4- <br /> Cooler of <br /> SAMPLE RECEIPT FORK! <br /> CLIENT: DATE: 2 + L/ <br /> TEMPERATURE — SAMPLES RECEIVED BY: <br /> CALSCIENCE COURIER: LABORATORY (Other than Calsctence Courier). <br /> Chilled, cooler with temperature blank provided 'C Temperature blank <br /> Chilled, cooler without temperature blank "C IR thermometer <br /> Chilled and placed in cooler with wet ice Ambient temperature <br /> Ambient and placed in cooler with wet ice <br /> Ambient temperature <br /> °C Temperature blank Initial <br /> CUSTODY SEAL INTACT <br /> Samples) Cooler �N No(Not Intact) Not Applicable (NIA) <br /> Initial <br /> SAMPLE CONDITION <br /> Yes No NIA <br /> Cham-Of-Custody document(s) received with samples �- <br /> Sample container Iabel(s) consistent with custody papers <br /> Sample container(s) intact and good condition .� <br /> Correct containers for analyses requested <br /> Proper preservation noted on sample label(s) _ <br /> VOA vial(s) free of headspace <br /> Tedlar bag(s) free of condensation <br /> Initial <br /> COMMENTS: <br />