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UIIStar Page 1 oh <br /> Laboratories, Inc. <br /> Paavimxn QIAU ANAWFICM.5Wm NAnCOMM <br /> SAMPLE RECEIVING REVIEW SHEET <br /> BATCH# �/sams <br /> Client Name: AARTNWh Aq LEOa Project: 3225 tet/ &acv Awl, 7zoY 144 <br /> Received by: V ,fie Date/Time Received: /,/s 2i /9 s� <br /> Delivered by: []Client F1SunStar Courier [0 GSO ❑FedEx ❑ Other <br /> Total number of coolers received i I Temp criteria=6*C>0°C(no frozen containers) <br /> Temperature:cooler 41 H•2 °C+/-t e CF (-0.2°C) = H.a °C corrected temperature <br /> cooler#2 OC+/- e CF (-0.2°C) _ _°C corrected temperature <br /> cooler#3 -C+/-the CF (-0.2�C) _ _°C corrected temperature <br /> Samples outside temp. but received on i I,w/in 6 hours of final sampling. ®Yes ❑No* [:]N/A <br /> Custody Seals Intact on Cgoler/Sample ®Yes ❑No* ❑N/A <br /> Sample Containers Intact I ®Yes ONO* <br /> Sample labels match COC ID's Eyes ONO* <br /> Total number of containers received mat Ih COC ®Yes []No* <br /> Proper containers received for analyses rggnested on COC ®Yes No <br /> Proper preservative indicated on COC/containers for analyses requested [ Yes ❑No* ❑N/A <br /> Complete shipment received in good condition with correct temperatures,containers,labels,volumes <br /> preservatives and within method specified holding times. ®Yes ❑No* <br /> *Complete Non-Conformance Receiving Shl <br /> iet if checked Cooler/Sample Review-Initials and date ✓S <br /> I <br /> Comments: <br />