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Login Sample Receipt Checklist <br />Client: Republic Services Inc <br />Login Number: 1241 <br />List Number: 1 <br />' Creator: Rabb, Mike <br />Question <br />Radioactivity either was not measured or, if measured, is at or below <br />' background <br />The cooler's custody seal, if present, is intact. <br />The cooler or samples do not appear to have been compromised or <br />' tampered with. <br />Samples were received on ice. <br />Cooler Temperature is acceptable. <br />' Cooler Temperature is recorded. <br />COC is present. <br />COC is filled out in ink and legible. <br />' COC is filled out with all pertinent information. <br />Is the Field Sampler's name present on COC? <br />There are no discrepancies between the sample IDs on the containers and <br />the COC. <br />Samples are received within Holding Time. <br />Sample containers have legible labels. <br />Containers are not broken or leaking. <br />' Sample collection date/times are provided. <br />Appropriate sample containers are used. <br />Sample bottles are completely filled. <br />Sample Preservation Verified. <br />There is sufficient vol. for all requested analyses, incl. any requested <br />MS/MSDs <br />' VOA sample vials do not have headspace or bubble is <6mm (1/4") in <br />diameter. <br />Multiphasic samples are not present. <br />Samples do not require splitting or compositing. <br />Residual Chlorine Checked. <br />TestAmerica Buffalo <br />Answer <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />True <br />N/A <br />I <br />Page 29 of 29 <br />Comment <br />Job Number: 480-1241-1 <br />List Source: TestAmerica Buffalo <br />02/16/2011 <br />