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i <br />' Sample Receipt Checklist STL San Francisco <br /> Submission # 2002- 19�5 - 04&(o <br />' Checklist completed by (initials) b`. Date 08 / 22-/02 <br /> Couner name ❑ STL San Francisco X Client <br />' Not <br /> Custody seals intact on shipping container/samples Yes No Present t-� <br /> Chain of custody present? Yes No <br />' Chain of custody signed when relinquished and received? Yes `�No <br /> Chain of custody agrees with sample labels? Yes_,::!�'No <br /> ISamples in proper container/bottle? Yes ✓ No <br /> Sample containers intact? Yes ✓ No <br /> Sufficient sample volume for indicated test? Yes '� No <br /> All samples received within holding time? Yes No <br /> IContainerrremp Blank temperature in compliance(40 C±2)? Temp7°C Yes rf:::�No C <br /> Water-VOA vials have zero headspace? No VOA vials submitted Yes No <br /> I 0 <br /> (if bubble is present, refer to approximate bubble size and itemize in comments as S (small --O), M (medium - O)or L (large- 0) <br /> Water- pH acceptable upon receipt?XYes ❑ No <br /> I17 pH adjusted- Preservative used © HNOs❑ HCI ❑ H2SO4 ❑ NaOH ❑ZnOAc <br /> For any item check-listed rr"fN,o-", provided detail of discrepancy in comment section below <br /> Comments `7 <br /> I <br /> Project Management [Routing for instruction of indicated discrepancy(les)] <br /> IProject Manager (initials) Date ! 102 <br /> Client contacted ❑ Yes ❑ No <br /> Summary of discussion <br /> I <br /> Corrective Action (per PM/Client) <br /> I <br />