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Sample Receipt 1 Client Notification Form <br /> T� '� <br /> Client Name -,,t �l4 <br />' SIERRA Sierra Project Number -7 -� <br /> LABORATORIES <br /> Sierra Project Manager <br /> Date /Time Samples Received 4 - r 5' - e a 12;no <br /> Method of Shipment /#-t rL <br /> Custody Seals? NIA Intact Broken <br /> Samples Intact? t E-S <br /> Properly Labelled? Yy-f <br /> Appropriate Containers? �f <br /> Headspace in VOA vials? All�0,/ <br /> Samples Chilled? (Cooler Temp °C) =! <br /> Property Preserved? (pH) --- <br /> Preservatives added (after receipt by Sierra) <br /> *Sample Disposal Instructions Oi �- <br /> .� s <br /> **Tum Around Time Requested 2-- t•✓cz�-, <br /> Subcontractor Laboratories to be utilized .t1 <br /> ' Special Instructions <br /> Other Anomalies <br /> 1 <br /> 1 DateMme Faxed to Client <br /> Samples Logged in by <br /> 4 a 1w <br /> . . s�.- - <br /> Y Y <br /> � <br /> Printed Name <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 pisposal Other charges may apply for other disposal options <br /> Rush surcharges wiii be applied to Tum Around Times other than Normal,except by prior arrangement with Sierra Labs <br /> G Xr <br /> 2133052 MERIT CIRCLE, SUITE 105, LAGUNA HILLS, CALWORNIA 92653 <br /> s I` k1' '¶ ' f TELEPHONE (714) 348-9389 FAX 714 348-9115 <br /> �S ,r t,n�,xfi,;� r�, :, <br />