Laserfiche WebLink
ASSOM TED LABORA TOSS <br /> 806 No?Wl-Batavia- Orange, California 92868- 725- 714/771-6900 .FAX 714/.i3u 129 <br /> Cooler Receipt Form <br />' Client <br /> Project -r<3 C- 17'2-- <br /> Date <br /> .7ryDate Cooler Received ... Date Cooler Opened Z <br /> r <br /> Was cooler scanned for presence of radioactivity <br /> Yes o <br />' If yes Was radioactivity results above 25 opm ? des o <br /> Was a shxpper's pamwng slip attached to the cooler <br />' yesi_ T <br /> if the cooler had custoc,y seals i. were t:h7j sigi�Wd and intact ? We iolNa <br /> Wav the cooler <br /> -J _ Z. <br /> Vk7tre all samples sealed in plastic nags � DZ-- ?�o <br /> Did all saniples ainve intact?If no, indicate be1_ou <br /> 'ere all samples labeled correctly % JD's DaLes, Tunes) If iia, indicate below 3-ire <br /> ICan the tests required be ran with the piovided core€auiers, If no indicate below Te /No <br /> Was sufficient sample volume sent for all containers ? <br /> oe /No <br /> Werc any VOA vials received with Dead s a a ? <br /> p c� �e /NofNa <br /> I Was the correct pi esen atives used ' <br /> 1 If no, see the pH log for a list of samples contamers regarding pH �/�°/Na <br /> IAny Other important 111fonnation <br /> R�tcenvang Depa,,j ierxC <br />