Laserfiche WebLink
LTorrent <br />L ABORA TORY INC <br />Sample Receipt Checklist <br />Client Name: Engeo (San Ramon) Date and Time Received. 1/11/2019 11:00:00AM <br />Project Name: Mountain House Neighborhood A Received By: Helena Ueng <br />Work Order No.: 1901079 <br />Physically Logged By: Helena Ueng <br />Checklist Completed By: Helena Ueng <br />Carrier Name: Client Drop Off <br />Chain of Custody (COC) Information <br />Chain of custody present? Yes <br />Chain of custody signed when relinquished and received? Yes <br />Chain of custody agrees with sample labels? Yes <br />Custody seals intact on sample bottles? Not Present <br />Sample Receipt Information <br />Custody seals intact on shipping container/cooler? Not Present <br />Shipping Container/Cooler In Good Condition? Yes <br />Samples in proper container/bottle? Yes <br />Samples containers intact? Yes <br />Sufficient sample volume for indicated test? Yes <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes <br />Container/Temp Blank temperature in compliance? Temperature: °C <br />Water-VOA vials have zero headspace? No VOA vials submitted <br />Water-pH acceptable upon receipt? N/A <br />pH Checked by: N/A pH Adjusted by N/A <br />Comments: <br />Summa canisters received at ambient temperature. <br />483 Sinclair Frontage Rd., Milpitas. CA 95035 I telq . 408.263.6266 I f4X: 406.263.8293 I vf.esn.wv .to r e ntl °LI rn <br />Total Page Count 19 Page 17 of 19