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1 <br /> Sample Receipt I Client Notification Form <br /> Client Name: Gt H _ _. -- <br />' SIERRA Sierra Project Number: -- <br /> a l j <br /> L.4BDRATQRIES � <br />' Sierra Project Manager:_ _ _ �(..'`[ ,_,.,.. <br /> Date 1 Time Samples Received: b a to ; <br />' Method of Shipment: (Jos <br /> Custody Seals? NIA Intact Broken <br /> Samples Intact? I! <br /> ' Properly Labelled? <br /> Appropriate Containers? <br /> Headspace in VOA vials? 1y O K <br /> Samples Chilled? (Cooler Temp. °C): 6.5 <br /> ' <br /> Properly Preserved? (pH) <br /> ) <br /> Preservatives added (after receipt by Sierra): <br /> * Sample Disposal Instructions: Lf}- <br /> ' **Tum Around Time Requested: b <br /> ' Subcontractor Laboratories to be utilized: <br /> Special Instructions: <br /> ' Other Anomalies: <br /> Date/Time Faxed to Client: <br /> Samples Logged in by: <br /> Printed Name: 12, <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 Tum Around Times ether than Normal, except by prior arrangement with Sierra Labs. <br /> ' 26052 MER17 CIRCLE, SUITE 105, LAGUNA HILLS, CALIFORNIA 92553 <br /> TELEPHONE: (714) 348-9389 FAX: (714) 348-9115 <br />