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STL LOS ANGELES _ <br /> PROJECT RECEIPT CHECKLIST Date6 <br /> uantims Lot # 2FW/7C� Quote # Q �/ Z <br /> lent Name Project S4r7 1131- 11733 <br /> Received b & <br /> Y � .' - Date/Time Received <br /> Delivered by ❑Client ❑Airborne Fed >=x ❑DHL In-House Courier Re B <br /> ❑ ❑ Y <br /> ❑UPS ❑DES [-]Other <br /> ......................w.w w.w.....w..w........ ..w w w.....w.w w....w w......www..w...........w w w w w.w w w w w.....w w <br /> Initial 1 Date <br /> Custody Seal Status intact ❑Broken ❑None ?J/ <br /> Custody Seal #(s) - �Jo Seat # <br /> Sample Containers) ❑STL-LA �Cfient ❑NIA <br />' Temperature(s) (COOLER/BLANK) in °C ,57 <br /> �e� (CORRECTED TEMP) �� <br /> Thermometer Used X-1 IR (Infra-red) ❑Digital (Probe) <br /> Samples Intact ❑Broken ❑Other <br />' Anomalies XNo ❑Yes (See Clouseau) <br /> Labeled by <br /> Labeling <br /> cked by <br />' .........ch .......... .w.....................w...... .......... w.w..w... <br /> w w w w w w w..w 4.w..4.w .Y..w w w.w w w w w... .w <br /> Turn Around Time 7RUSH-24HR ❑RUSH-48HR ]RUSH-72HR aNORMIAL <br /> Short-Hold Notification ❑Ph ❑Wet Chem ❑Metals (Filter/Pres) ❑Encore 2.N/A <br /> Outside Analysis(es) (Test/Lab/Date Sent Out) �81.GP <br /> ..... LEAVE NO BLANK SPACES USE NIA '"*•"•"""* <br />' Fraction /fir` PH <br /> VOAh /* 3 NIA <br /> rtSodium Zana Zinc Acetate/Sodtum nit HNO3-Field <br /> ii "Ci s H2SO4 n HNO3 n/tr[ HNO3-Lab filtered <br /> Hydomde Hvdromde filtered PB Poly GJ Clear Glass CGB Clear Glass AGJ Amber AGB Amber Glass E Encore <br /> Bottle Glass Jar Bottii y Bottle Sampler V VOA SL Sleeve <br /> Number of VO A's w/Headspace present <br /> LOGGED BY/DATE a' 2 7-16;-1 REVIEWED BY/DATE /01 <br /> 000003 <br />