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Sample Receipt ! Client Notification Form <br /> • <br /> Client dame <br /> STER{-� Sierra Project Number- o o n i — 1 -19 <br /> L,aBORaTOR.iSS _ --_ - ---- - —7--77== — - <br /> Sierra Project Manager- <br /> Date <br /> anager Date /Time Samples Received _ LI g-o d 0 i ' 1 <br /> Method of Shipment U11,05 <br /> ' <br /> Custody Seals? NIA E Entad I Eroken , <br /> Samples Intact? <br /> Property Labelled? ✓ ' <br /> Appropriate Containers? ✓ _ ' <br /> Headspace in VOA vials? loN� <br /> Samples Chilled? (Cooler Temp °C) <br /> Property Preserved? (pH) <br /> Preservatives added (after receipt by Sierra) ! , <br /> -Sample Disposal Instructions S L <br /> "Tum Around Time Requested <br /> Subcontractor Laboratories to be utilized ' <br /> Special Instructions <br /> other Anomalies r <br />- <br /> Cate/Time Faxed to Client <br /> Samples <br /> Logged in by <br /> Printed Name <br /> ff you have any questions, please refer to the Sierra Prolec: Number reverenced above <br /> -Sam Gies are only retained for:0 days if marxed for Lab Cis ccsal Cther c'mrges may apcty far cther discosai acclarls ' <br /> -Rush surcharges will be apcited to Tum Around iiirres cther than ucrnal excect by finer arrangement with Sierra_ Lats <br /> 26052 MERIT CIRCLE SUITE 105, LAGUNA HILLS, CAUFGRNIA 92653 <br /> - TELE:1HONE (714) 348-9--89 FAX (71-t) 348-9115 - - - <br />