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Cal Tech Environmental Laboratories Inc, <br />' Sample Receiving Check List <br /> Date received / � �' <br />' Time � U <br /> Lab ID# —p Client <br /> iAnswer Yes No NIA <br /> COC Present � ❑ ❑ <br />' #of packages 11 El ❑ <br /> Sample received on ice X ❑ ❑ <br /> Type of ice Blu et ■ ❑ <br /> Temperature . ❑ <br /> Samples intact ❑ ❑ <br /> ILeaking bottles ❑ ❑ <br /> Custody seals intact <br /> COC completed ❑ ❑ <br /> Bottle labels matclung COC ❑ ❑ <br /> Preservation Chk � ❑ ❑ <br /> Preserved at lab ❑ El <br /> I Sample volume sufficient ❑ ❑ <br /> Notify analysts ❑ <br /> Subcontrct analyses - ❑ <br /> Discrepancies and Notifications <br /> I <br /> I <br /> Sample Receipt by, <br /> I <br />