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s <br /> r s <br /> 7) 1 <br /> ASSOCIATED LABORATORIES <br /> 806 North Batavia-Orange, California 92868-- 714-771-6900 FAX 714-538-1209 <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Section 1 -- <br /> Client -r V �t c-,`f Project. - <br /> Date ReceivedSa - G 57 <br /> m l s received in cooler es - Na Ski Section 2 <br /> Section 2 <br /> Was the cooler packed with X Ice Ice Packs _Bubble Wrap _Styrofoam <br /> Paper None _Other <br /> Cooler or boa temperature: 2 V <br /> (Acceptance range is 2 to 6 Deg C} <br /> Section 3 YES NO NIA <br /> Was a COC received? ✓ <br /> Were custody seals resent? <br /> If Yes--were they intact' ✓ <br /> Were all samples-sealed in plastic ba <br /> Did all samples arrive intact? If no,indicate below. <br /> Did all bottle labels#gree with COC? ,dates and times �✓ <br /> Were correct containers used for the tests r uured7 - - - - - - - -- -- .Was a sufficient amount of sam le sent-for tests indicated?----- <br /> No <br /> ndicated?- - --No head space in VOA vials? Ll <br /> Were the correct preservatives used? v x <br /> Were the nmles scanned for presence of radioactivity? v <br /> Section 4 <br /> Ex lanations/Comments <br /> Section 5 <br /> Was Project Manager notified of discrepancies- Y / <br /> Completed By Date. �� �/ <br />