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Login Sample Receipt Checklist <br /> Client: Antea USA Inc. Job Number: 440-246095- 1 <br /> Login Number: 246096 List Source : Eurofins TestAmerica , Irvine <br /> List Number: 1 <br /> Creator: Escalante , Maria I <br /> Question Answer Comment <br /> Radioactivity wasn 't checked or is </= background as measured by a survey True <br /> meter. <br /> The cooler's custody seal , if present, is intact. True <br /> Sample custody seals , if present, are intact. N/A <br /> The cooler or samples do not appear to have been compromised or True <br /> tampered with . <br /> Samples were received on ice . True <br /> Cooler Temperature is acceptable . True <br /> Cooler Temperature is recorded . True <br /> COC is present. True <br /> COC is filled out in ink and legible . True <br /> COC is filled out with all pertinent information . True <br /> Is the Field Sampler's name present on COC? True <br /> There are no discrepancies between the containers received and the COC . True <br /> Samples are received within Holding Time (excluding tests with immediate True <br /> HTs ) <br /> Sample containers have legible labels. True <br /> Containers are not broken or leaking . True <br /> Sample collection date/times are provided . True <br /> Appropriate sample containers are used . True <br /> Sample bottles are completely filled . True <br /> Sample Preservation Verified , N/A <br /> There is sufficient vol . for all requested analyses , incl . any requested True <br /> MS/MSDs <br /> Containers requiring zero headspace have no headspace or bubble is True <br /> <6mm ( 1 /4" ) . <br /> Multiphasic samples are not present. True <br /> Samples do not require splitting or compositing . True <br /> Residual Chlorine Checked . N/A <br /> Eurofins TestAmerica , Irvine <br /> Page 76 of 104 7/25/2019 <br /> i <br />