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ALS Group, USA <br /> Sample Receipt Checklist <br /> Client Name: WESTERNW&L Date/Time Received: 03-Jun-20 10:00 <br /> Work Order: 20060333 Received by: DS <br /> Checklist completed by Diane Shaw 04-Jun-20 Reviewed by: Chad Whelton 04-Jun-20 <br /> eSignature Date eSignature Date <br /> Matrices: Soil <br /> Carrier name: FedEx <br /> Shipping container/cooler in good condition? Yes W No ❑ Not Present ❑ <br /> Custody seals intact on shipping container/cooler? Yes ❑ No ❑ Not Present ❑d <br /> Custody seals intact on sample bottles? Yes ❑ No ❑ Not Present ❑d <br /> Chain of custody present? Yes k No ❑ <br /> Chain of custody signed when relinquished and received? Yes W No ❑ <br /> Chain of custody agrees with sample labels? Yes W No ❑ <br /> Samples in proper container/bottle? Yes W No ❑ <br /> Sample containers intact? Yes V No ❑ <br /> Sufficient sample volume for indicated test? Yes k No ❑ <br /> All samples received within holding time? Yes 0 No ❑ <br /> Container/Temp Blank temperature in compliance? Yes 0 No ❑ <br /> Sample(s)received on ice? Yes 0 No ❑ <br /> Temperature(s)/Thermometer(s): 5.4/5.4 c SR1 <br /> Cooler(s)/Kit(s): <br /> Date/Time sample(s)sent to storage: 6/4/2020 7:08:14 AM <br /> Water-VOA vials have zero headspace? Yes LI No L No VOA vials submitted ❑�/ <br /> Water-pH acceptable upon receipt? Yes ❑ No ❑ N/A ❑d <br /> pH adjusted? Yes ❑ No ❑ N/A ❑d <br /> pH adjusted by: <br /> Login Notes: <br /> Client Contacted: Date Contacted: Person Contacted: <br /> Contacted By: Regarding: <br /> Comments: <br /> CorrectiveAction: <br /> SRC Page 1 of 1 <br />