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S I'L <br /> STL San Francisco <br /> SaMpie Receipt Checklist <br /> bmisslon #:2004- _ 6)2- r <br /> G€���klist cr_n;clelsc by (rnrtra°,) Date 1 , <br /> r + , <br /> OOu;se-name 1 }[1_ Sian Fr2nC�s I� r f ten: <br /> G.astoov senis rr,avsnr ping cQnta;ncr samples l� ttiU+ <br /> Yes " 4NO Present <br /> t_:rtarri OFrzrStujy presCnt) <br /> ch,irn Of cu%toy 4es � No <br /> r sav�i .ltrerti relinqu%hea and re; <br /> erv�d <br /> Chz:jn of custocty 3r rew`with7 Yc-s Nr,_V-1 <br /> e mpSn reels. <br /> Yes <br /> sarii(t.lr:s ,r5 Proper�'clrrtarnerlbi tile"' <br /> Yes W"" Na/ <br /> Sampl��coni7rners rrrt3ct'� Nn- <br /> Surficlel)l sarrrple vcfumo for t1dicaled testi yes <br /> / No <br /> All nampies r�ccsved Yes "� No <br /> p tial}dl�in hvir�ing znne� <br /> Y,e <br /> ConiaineraL=rnp Blank terrip+;rature in cornptrarrce(40 C 21? <br /> Temp_21 "C Yes 'No <br /> Potential reason for te C�`G= tee meJtc�© We w bags ❑ Not bnoogh ice © Not enough blue rcP 0' Samples lig boxes p <br /> Sampted -4tir a9oaC7 Ice,nr3t requrrecQe�D,;�Pufksample) <br />'�' V013 vials hale z-rcz h-z Ice present Yes 4 <br /> -ispave� <br /> iNG VOA weals suLmItta-j Y,-,q N0 <br /> kir bubble is pretienr re`er to approxatiate auuble size a-d Mt rnrzc fn Comments as S (small -U) M (medium -- 0)or L(large - ) <br /> i <br />'Jlater pFi acceptal)le upon receipt? ❑ Yes 0 Nes <br /> pH adjusted- PrLservatr1la rosea 0 I NO,, ❑ HCI ❑ hl2SrO_, 13 [ nOH ❑ ZjjOAc-Lot#($) <br />=or any rtom checf:-listed "No", provided detail of dasc•epancy in cOfnment section below <br />:Omments <br /> 3roject Management [Rotating for instruction of indicated discrepancy(les)] <br />'rr;ect s: rnaaer (:rtrtrals) Gate ' ?uY, Client con,,t^teCi El Yap im] No <br /> aurnmary of discussion <br /> ori r';.ts,rt rpEy�t:ilClrenti <br />