Laserfiche WebLink
v h A L P Y <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Section 1 <br /> Client: zN%�'- Project: <br /> Date Received: it bra/1z Sampler's Name Present: Pyes FNo <br /> Section 2 <br /> Sample Temp(°C) <br /> Sample(s)received in a cooler? Yes,How many? E]No(skip section 2) (No Cooler) <br /> Sample Temp(°C),One from each cooler: #1: 2- 1 #2: #3: #4: <br /> (Acceptance range is<6°C but not frozen(for Microbiology samples,acceptance range is <10'C but not frozen). It is acceptable for samples collected <br /> the someday as sample receipt to have a higher temperature as long as there is evidence that cooling has begun.) <br /> Shipping Information: �`S <br /> Section 3 <br /> Was the cooler packed with: D e Dce Packs Bubble Wrap ❑Styrofoam <br /> Paper None Other <br /> Cooler Temp(°C): #1: #2: #3: #4: <br /> Section 4 YES NO N/A <br /> Was a COC received? i <br /> Are sample IDs present? <br /> Are sampling dates&times present? i <br /> Is a relinquished signature present? <br /> Are the tests required clearly indicated on the COC? l <br /> Are custody seals present? l <br /> If custody seals are present,were they intact? <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 /> Did 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 greaterthan 5-6 mm in diameter? / <br /> Was a sufficient amount of sample submitted for the requested tests? <br /> Section 5 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: Date: 1I <br /> E halpy Analytical,a subsidiary of Montrose Environmental Group,Inc. <br /> 931 .Barkley Ave,Orange,CA 92868•T:(714)771-6900•F:(714)538-1209 <br /> www.enthalpy.com/socal <br /> Sample Acceptance Checklist—Rev 4,8/8/2017 <br /> 6 of 27 <br />