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Job Sample Receipt Checklist Report V2 <br /> )sckl 01/28/2000 <br /> Job Number 200207 Location 57218 Customer Job 10 Job Check List Date 01/28/2000 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer IT Group Contact Rhonda Teicheira <br /> Questions (Y/N) Comments <br /> Chain-of-Custody Present? Y <br /> If eyes", completed properly? Y <br /> Custody seal on shipping container? N <br /> If "yes", custody seal intact? N <br /> ' Custody seals on sample containers? N <br /> If "yes", custody seal intact? N <br /> Samples chilled? Y 3 <br /> erature of cooler acceptable? (4 deg C +/ 2) Y <br /> Temperature measured from temperature blank? N <br /> ' Samples received intact (good condition)? Y <br /> Volatile samples acceptable? (no headspace) Y <br /> Correct containers used? Y <br /> ' Adequate sample volume provided? Y <br /> samples preserved correctly? Y <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample labels? Y <br /> ' Open cooler radioactive screen at or below bkgrd? <br /> Additional - <br /> alznents - <br /> Sample Custodian Signature/Gate Y <br /> Page 1 <br /> r <br />