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SunStar Page I of--j- <br /> Laboratories, <br /> hLaboratories, Inc. <br /> MOVIVINO QIIAun ANALV CA SMYM NAnI MW <br /> SAMPLE RECEIVING REVIEW SHEET <br /> BATCH# /rams <br /> Client Name: 1.5f arAWA FSY �O,�K Project: 00W d/ &foo &vv I"& CSF <br /> Received by: Date/Time Received: //6•isZ 9 s� <br /> Delivered by: ❑Client ❑ SunS Courier [OGSO ❑FedEx ❑Other <br /> Total number of coolers received i Temp criteria=6*C>0*C(no frozen containers) <br /> I <br /> Temperature:cooler 41 y2 °C+/_tt�e CF (-0.2°C) = 4..o °C corrected temperature <br /> cooler#2 °C+/-the CF (-0.2°C) _ - °C corrected temperature <br /> cooler#3 °C+/:Ile CF (-0.2°C) _ _°C corrected temperature <br /> Samples outside temp.but received on i ,who 6 hours of final sampling. Eyes ❑No* ❑N/A <br /> Custody Seals Intact on Cgoler/Sample ®Yes [:]No* ❑N/A <br /> Sample Containers Intact Eyes ❑NO* <br /> Sample labels match COC ID's Eyes ❑No* <br /> Total number of containers received math COC ®Yes ❑No <br /> Proper containers received for analyses r-;. <br /> nested on COC ®Yes ❑No* <br /> Proper preservative indicated on COC/containers for analyses requested 19Yes ❑No* ❑N/A <br /> Complete shipment received in good condition with correct temperatures,containers,labels,volumes <br /> preservatives and within method specified holding rimes. !®Yes ❑No* <br /> *Complete Non-Conformance Receiving SbCet if checked �I Cooler/Sample Review-Initials and date FC /•/6✓6 <br /> Comments: <br /> ( <br /> I <br />