Laserfiche WebLink
HOUSTON LABORATORY <br /> I 8880 INTEi2CI-iAt3GE ORl1lE <br /> HOUSTON Ta 090 77054 <br /> aR <br /> ill 3)66tl 0907 <br /> 1 <br /> ISample Receipt Checklist <br /> i <br /> I Workorder 09030308 Received By IDS <br /> Date and Time Received 3110101 10 00 00 AM Carrier dame FedEx <br /> ITemperature 3 Chilled by Water Ice <br /> I Shipping container/cooler In good condition? Yes �/❑ No❑ Not Present ❑ <br /> I2 Custody seals Intact on shippping container/cooler? Yes ❑ No❑ Not Present 0 <br /> 3 Custody seals intact on sample bottles? Yes ❑ No❑ Not Present <br /> 4 <br /> Chain of custody present? Yes Q No❑ <br /> 5. Chain of custody signed when relinquished and received? Yes 0 No❑ <br /> 6. Chain of custody agrees with sample labels? Yes No❑ <br /> 7. <br /> Samples in proper containerlbott[e? Yes No❑ <br /> MR,8 <br /> Sample containers Intact? Yes W No❑ <br /> 9. Sufficient sample volume for indicated test? Yes W No❑ <br /> 10 <br /> All samples received within holding time? Yes 2 No❑ <br /> 11. Container/Ternp Blank temperature In compliance? Yes FV-1 No❑ <br /> 12. Water-VOA vials have zero headspace? Yes 0 No❑ Not Applicable ❑ <br /> IWater-pH acceptable upon receipt? Yes No❑ Not Applicable ❑ <br /> 13. <br /> SPL Representative I Contact Date&Time I <br /> Client Name Contacted <br /> Non Conformance <br /> Issues <br /> Client Instructions <br /> 09030308 Page 32 <br /> 3/21101 10 24 06 AM <br /> I <br />