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PROJECT RECEIPT CHECKLIST Date: <br /> Quaniims Lot #: zl_5: ?d Quote #: <br /> Client Name: S/ Project: <br /> Received by: Date/Time Received: O .�o.ao <br /> Delivered by :❑Client ❑Airborne M <br /> ed Ex ❑DHL Din-House Courier ❑Rey B. <br /> []u PS DOES ther <br /> ......................... .............a..a...a.aa.aa..a...a..aaa.aaaa.aaa...............a....aca.a.aaaa <br /> Initial I Date <br /> Custody Seal Status: 53Intact ❑Broken ❑None G ,52 p <br /> Custody Seal #(s),._ ❑No Seal # ........... <br /> Sample Container(s): ❑STI,-LA []Client ❑NIA ................................................ <br /> -_, Temperature(s) (Cooler/blank) in 11C: 3 C Correction factor--4. Corrected Temp.)3 " <br /> Thermometer Used : ID: ®IR (Infra-red) Digital (Probe) ............ .. <br /> Samples: [�Ilntact ❑Broken ❑Other .............. <br /> Anomalies: A,11 WNo r5P'es (See Clouseau} <br /> Labeledby ........... . ...... .. .............................................. . ........................... ........... <br /> Labelingchecked by ................................................................................................... <br /> .a.saa....a..a.•a..•.•..•....... .......................... ..............•. ................oar. ..... <br /> ` Turn Around Time:❑RUSH--24HR []RUSH--48HR []RUSH-72HR ❑NORMAL ......... <br /> c=>., Short-Hold Notification: ❑Ph []Wet Chem []Metals (Filter/Pres) []Encore ❑NIA ... <br /> ti Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> 2> l ADZ =OodQ� / 5��7�r �. ................... <br /> .................... <br /> ................... <br /> LEAVE NO BLANK SPACES ;USE N/A <br /> Fraction r Z PH <br /> VOAh r NIA <br /> na:Sodium utns:Zinc Acetate/Sodium S. n/f:HNO3-I:ield <br /> h:HCI Hydoxide Hydroxide H2SO4 n:HNO3 flhcmd Nf/1:HNp3-Lab filtered <br /> CGJ:Clear Glass COB:Clear Glass AQJ:Amber AGB;Amhcr Glass PeE:Encorc <br /> Jar Bottle Glass J" Bottle :Poly 8otcle sa�lcr V:VOA 3L.-Slcevc <br /> 1 *Number of VOA's w/Headspace present <br /> LOGGED BY/DATE. S a Yh REVIEWED BY/DATE: �v ti ev <br /> r:- ._" ..c v►.oa m�.ar <br /> L2E170286 STL Sacramento 916-373-5600 9 of 41 <br />