Laserfiche WebLink
1 <br />Login Sample Receipt Checklist <br />1 <br />Client: Republic Services Inc <br />Login Number: 6763 <br />List Number: 1 <br />' Creator: Wienke, Robert <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 />If necessary, staff have been informed of any short hold time or quick TAT <br />needs <br />' Multiphasic samples are not present. <br />Samples do not require splitting or compositing. <br />Sampling Company provided. <br />' Samples received within 48 hours of sampling. <br />Samples requiring field filtration have been filtered in the field. <br />Chlorine Residual 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 />True <br />False <br />True <br />N/A <br />N/A <br />I <br />Page 21 of 21 <br />Comment <br />Job Number: 480-6763-1 <br />List Source: TestAmerica Buffalo <br />07/19/2011 <br />Ll A5 <br />