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lour <br /> Success <br /> jsckl Job Sample Receipt Checklist Report V2 <br /> 12/02/1994 <br /> Job mber 992528 Location 57218 Customer Job ID Job Check List Date 12/02/1994 <br /> Nu <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer. . IT Croup Contact Rhonda Teicheira <br /> 4uestions ? (Y/N) Comments <br /> Chain-of-Custody Present? Y <br /> If eyes", completed properly? Y <br /> Custody seal on shipping container? N <br /> If "yes", custody seal intact? N <br /> Custody seals on sample containers? N <br /> If "yes", custody seal intact? N <br /> Samples chilled? Y 3 <br /> mperature of cooler acceptable? (4 deg C +/- 2) Y <br /> Temperature measured from temperature blank? N <br />' Samples received intact (good condition)? Y <br /> Volatile samples acceptable? (no headspace) Y <br /> Correct containers used? Y <br />' Adequate sample volume provided? Y <br /> Samples preserved correctly?. Y <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample labels? Y <br />' Open cooler radioactive screen at or below bkgrd? <br /> Additional. <br /> Comments <br />' ample Custodian Signature/Date Y <br /> Page 1 <br /> a part of <br /> SCL�GI7 il�lll S�i7 i��,]n� <br />