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STL - LOS ANGELES 0I�/ <br /> PROJECT RECEIPT CHECKLIST Date: <br /> Quantims Lot # 175 _ Quote #: <br /> Client Name: <br /> Project* ,g_/5r _ y <br /> Received by: DateRme Received. r7lAyrc� JE <br /> Delivered by :❑Client ❑Airborne Fed Ex []DHL ❑Ultra-Ex -[]Rey B. <br /> ilk ❑UPS []DES ❑Other <br /> .......... .............. <br /> ................................................................. ................. <br /> Initial 1 Date <br /> Custody Seal Status: ❑Intact ❑Broken PNone ..... .... ...................... ........... <br /> Custody Seal #(s) []No Seal # ......... <br /> Sample Container(s): ❑STL-LA [3Client ❑NIA .. ............. ............................ .. <br /> Temperature(s) (COOLER/BLANK) in °C: __0 (CORRECTED TEMP)-., - .• <br /> --I-Thermometer <br /> - <br /> Thermo_meter Used : E]IR (Infra-red) ❑Digital (Probe) ......... ............... ................... <br /> Samples: ®Intact ❑$roken QOt-ret—- ----::.- r -- <br /> Anomalies <br /> JgNo QYes (See Clouseau) . ... .. .......... ............... <br /> Labeledby ... .... .. ..... .. ......... .. ......... .... ... .. <br /> Labeling checked by .................. ............. ........ .... ....... ... <br /> .... . .................... ..... ... ... <br /> Turn Around Time•CRUSH-24HR ❑RUSH-48HR ❑RUSH-72HR ONORMAL ....... <br /> 0113h ❑Wet Chem ❑Metals (Filter/Pres) ❑Encore NIA <br /> Short-Hold Notification. ❑ <br /> ' Outside Analysis(es) (Test/Lab/Date Sent Out) <br /> ..................... <br /> ........ .......... <br /> ' LEAVE NO BLANK SPACES.USE NIA ••"""" <br /> P <br /> FVFOLbon!" <br /> r <br /> �� =HSI• rfi .f�rQ+o3-Fi.� ti�,�'I�.S•c.i�f�tlla <br /> gook aew,�s.agla v vw► <br /> CGI ow GLW IV CG&CScr Gia Bad• AGkAmis GLM Js AG&Amba Gbw Basis M F* <br /> • Yumber of VOA's w/Headspaee present <br /> LOGGED B-DATE: REVIEWED BYIDATE: <br /> wC w l P7�' w R <br /> ■ 000003 <br />