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ENTHALPY <br /> � ! A N A L Y T I C A. Y. <br /> SAMPLE ACCEPTANCE CHECKLIST <br /> Section 1 D. <br /> Client: U Project: S-ent rf <br /> ❑ate Received: 5 — Sampler's Name Present: UYes No <br /> Section 2 <br /> Sample(') received in a cooler?ZbY41-s, How many? []No iskip section z} Sample Temp(°c) <br /> —7 0 (No Cooler) <br /> Sample Temp(°Cj, one from each cooler: #1:t 1 [ f #2: #3: #4: <br /> (Acceptance mange is r 6°C but not frozen{for Micrabioiagy samples,acceptance range is c 10°C but riot frozen). it is acceptable for samples collected <br /> the some day as sample receipt to have a higher temperature as long as there is evidence thatcoolinq has begun.) <br /> Shipping Information: <br /> Section 3 <br /> Was the cooler packed with: ?fPce []Ice Packs [] Bubble Wrap Styrofoam <br /> Paper None other <br /> Cooler Temp (°C). #1:a AM-#2: #3: #4: <br /> Section 4 Y S NO N/A <br /> Was a COC received? <br /> Are sample IDs present? <br /> Are sampling dates&times present' <br /> Is a relinquished signature resent? <br /> Are the tests required clearly indicated on the CDC? <br /> Are custody seals present? <br /> If custody seals are present,were they intact? <br /> Are all-samples sealed in plastic bags? (Recommended for Microbiology samples) <br /> Did all samples arrive intact?If no,indicate in Section 4 below. <br /> Did all bottle labels agree with COC?(ID,dates and times) <br /> Were the samples collected in the correct containers for the required tests? <br /> Are the containers labeled with the correct preservatives? <br /> Is there headspace in the VOA vials greater than 5-6 mm in diameter? <br /> Was a sufficient amount of sample submitted for the requested tests? <br /> Section 5 Explanations/Comments <br /> Section 6 <br /> For discrepancies, how was the Project Manager notified?Q Verbal PM Initials: Date/Time <br /> ❑Email (email sent talon): / <br /> Project Manager's response: <br /> Completed By: 4 f)�V"' Date: 4A <br /> Enthalpy Analytical,a subs-idiary of Montrose,Environmental Group,Inc. <br /> 931 W.Barkley Ave,Orange,CA 92868•T:(714)771-6900•F:(714)53&1209 <br /> www.enthaipy.com/socal <br /> Sample Acceptance Checklist—Rev 4,8/8/2017 <br /> 6of25 <br />