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ALS Group, USA <br /> Sample Receipt Checklist <br /> Client Name: ECOS Date/Time Received: 27-May-21 09:30 <br /> Work Order: 21052477 Received by: DS <br /> Checklist completed by Diane Shaw 28-May-21 Reviewed by: Chad WheltOn 28-May-21 <br /> eSignature Date eSignature Date <br /> Matrices: Soil <br /> Carrier name: Fed Ex <br /> Shipping container/cooler in good condition? Yes © No❑ Not Present ❑ <br /> Custody seals intact on shipping container/cooler? Yes © No❑ Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ No❑ Not Present FJ <br /> Chain of custody present? Yes © No❑ <br /> Chain of custody signed when relinquished and received? Yes © No❑ <br /> Chain of custody agrees with sample labels? Yes ❑d No❑ <br /> Samples in proper container/bottle? Yes d❑ No❑ <br /> Sample containers intact? Yes d❑ No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> All samples received within holding time? Yes ❑d No❑ <br /> Container/Temp Blank temperature in compliance? Yes ❑d No❑ <br /> Sample(s)received on ice? Yes ❑d No❑ <br /> Temperature(s)/Thermometer(s): 4.8/4.8 c IR1 <br /> Cooler(s)/Kit(s): <br /> Date/Time sample(s)sent to storage: 5/28/2021 9:32:54 AM <br /> Water-VOA vials have zero headspace? Yes LI No LJ 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 />