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ENTHALPY <br /> A N A L Y T I CA. L <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> E <br /> on 1 6�'��` 'v Project:Received: / ��^' Sampler's Name Present: es 771 <br /> Section 2 <br /> Sample Temp(°C) <br /> Sample(s) received in a cooler? Yes,How many? ❑No(skip section 2) (No Cooler) <br /> Sample Temp(°C),One from each cooler: #1: 3. 7 #2: #3: #4: <br /> (Acceptance range is<6'Cbut notfrozen(forMicrobiology samples,acceproncerange is<10°Cbutnotfrozen). Itisacceptableforsamp/es collected <br /> the some day as sample receipt to have a higher temperature as long as there Is evidence that cooling has begun.) <br /> Shipping Information: <br /> section 3 <br /> Was the cooler packed with: [�ce Dce Packs ❑Bubble Wrap ❑Styrofoam <br /> ❑Paper ❑None ❑Other <br /> Cooler Temp(°C): #1: 0.9 #2: 93: #4: <br /> Section 4 YES NO N/A <br /> 'Was a COC received? l <br /> .Are sample IDs present? <br /> .Are sampling dates&times present? / <br /> Is a relinquished signature present? / <br /> ,Are the tests required clearly indicated on the COC? / <br /> Are custody seals present? <br /> If custody seals are present,were they intact? l <br /> ,Are all samples sealed in plastic bags? (Recommended for Microbiology samples) / <br /> !Did all samples arrive intact?If no,indicate in Section 4 below. / <br /> IDid all bottle labels agree with COC?(ID,dates and times) <br /> Were the samples collected in the correct containers for the required tests? <br /> Are the containers labeled with the correct preservatives? <br /> Is there headspace in the VOA vials greater than 5-6 mm in diameter? <br /> Was a sufficient amount of sample submitted for the requested tests? / <br /> Section S Explanations/Comments <br /> Section 6 <br /> For discrepancies,how was the Project Manager notified?❑Verbal PM Initials: Date/Time <br /> ❑Email (email sent to/on): / <br /> Project Manager's response: <br /> Completed By: 1 Date:— <br /> [Enthalpy <br /> ate: <br /> Enthalpy Analytical,a subsidiary of Montrose Environmental Group,Inc. <br /> 3 W.Barkley Ave,Orange,CA 92868•P.(714)771-6900•F:(714)538-1209 <br /> www.enthalpy.com/socal <br /> Sample Acceptance Checklist—Rev 4,8/8/2017 <br /> 5 of 9 <br />