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i <br /> LA <br /> A.SSOC'L4TED LABORATOA 'L'.S <br /> 806 N®rth-Batavia - Oran,.- California 92868-1225- 7141771-6900 FAX 7141538-1209 <br /> Cooler Receipt Form <br /> Client AM Oil Project __. `(�� f 7 2-- _ <br /> Date Cooler Received. (017 Date Cooler Opened 1 2-f/7 <br /> Was cooler scanned for presence of radtaaczi--ity ONO If y es oras radioactivity results above 25 cpm ? Ye <br /> Was a shipper's paclang slip attached to the cooler ? es o <br /> If the cooler had cListo i seal(s),were thy signed and intact ? 6�eso/Na <br /> i <br /> Was the cooler packed-vvath Ice Ice Packs Bubble w ap <br /> Styrofoam paper ;.,ToOther <br /> coFer ' <br /> «Ul.,x sY yf;` .�-� _a � C� �'7 ��✓� v_� rC.Z!�u is_ `� r <br /> �_._•µ21��a� ✓v:._v 1-_' J ..1 i"i.s��� �i_..rF .,__.a.ti �L` a1_iy.. .,__L?�'-. Y1__�.— .,__.� .i... �r C,7 -) <br /> S ter— <br /> Ix no explain <br /> Were all samples sealed in plastic bags ? Yes o <br /> Did all samples arrive intact? If no, indicate below es To <br /> IWere all samples labeled correctly ? (ID's Dates, Times) If no, indicate below Qyes/No <br /> Can the tests regw.red be ran with the provided containers, If no indicate below Dyes <br /> No <br /> IWas sufficient sample volume sent for all containers ? (Ees/Nop <br /> Were any VOA vials received with head space ? Yeso to <br /> Was the correct preservatives used ? es oiNa <br /> if no, see the pH log for a list of samples containers regarding pH <br /> A=y other important inforiLation <br /> Receiving Departinent ryv, Date <br />