Laserfiche WebLink
p-;07 <br />.41 <br />API <br />'WM <br />F,Kit'VX <br />SAMPLE ACCEPTANCE CHECKLIST <br />Section 1 <br />Client HI 6.1 e-1.1-f--1 c-; ,F::,{\ V-1-4). Project >PET VW-v-1E4Z , <br />Date Received: •:4- 1 tc.7 (Li - Sampler's Signature Present . No <br />Sample temperature: <br />Sample(s) received in cooler: • 0 No (Skip Section 2) <br />Shipping Tnforroation: <br />Section 2 , <br />Was the cooler packed with: Ice ‘,/ Ice Packs Bubble Wrap Styrofoam <br />Paper None Other <br />Cooler 1 Temperature: Y-(... \ °(' Cooler 2 Temperature: Cooler 3 Temperature: <br />(Acceptance range is 0 to 6 Des. C. or arrival on ice; For Microbiology sample 5 10 Deg. C or arrival on ice) <br />Section 3 YES NO N/A <br />Was a COG received? <br />Were IDs present? I/ <br />Were samplinp-, dates & times present? <br />Was a signature present? ti <br />Were tests clearly indicated? , <br />Were custody seals present? . <br />If Yes — were they intact? V <br />Were all samples sealed in plastic bags? V <br />Did all samples arrive intact? If no, indicate below. V <br />Did all bottle labels agree with COC? (ID, dates and times) k <br />Were correct containers used for the tests required? <br />Was a sufficient amount of sample sent for tests indicated? <br />Was there headspace in VOA vials? 1/. <br />Were the containers labeled with correct preservatives? t/ <br />Was total residual chlorine measured (Fish Bioassay samples only)? * <br />*If the answer is no, please inform Fish Bioassay Dept. immediately. <br />V <br />Section 4 <br />Explanations/Comments <br />0 , 0, C. iNiv; Kkir Pref..-V.e-P, GPAA21,,i, 0,.04TAT-4.4E4-2.5 1,N11-;,-.F..f,' No- 1.,p,12,s.i,,e.:47, <br />Section 5 <br />Was the Project Manager notified via email of discrepancies: ), /l N/A <br />Project Manager's response: 41-, l, • <br />1 -/.7., fel <br /> <br />+11 Completed By: Date: <br /> <br />Enthalpy Analytical, a subsidiary of Montrose Environmental Group ,Inc. <br />806 N. Batavia Street, Orange, CA 92868 • T: (714) 771-6900 • F: (714) 771-9933 <br />www.enthalpy.com/socal <br />Sample Acceptance Checklist— Rev 1.2, 8/182015