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Evergreer naly i al Sample Receipt/- )ck-i Record <br /> Date & Time Rec'd: CDhipped Via : <br /> (Airbill i if applicable) <br /> Client n!, r <br /> Client Project ID(s) : /QQ2 <br /> EAL Project I(s) :92- �I��J J EAL Cooler(s) : Y <br /> cooler/ WA- <br /> Ice packs Yt Y N Y N Y N Y N <br /> Temperature °c 11L_ <br /> Y N N/A <br /> 1. Custody seal (s) present: Y <br /> Seals on cooler intact <br /> Seals on bottle intact <br /> 2 . Chain of Custody present: _ <br /> 3 . Containers broken or leaking: Y <br /> (Comment on COC if Y) <br /> 4 . Containers labeled: X <br /> 5 . COC agrees w/ bottles received: _ <br /> (Comment on COC if N) <br /> 6. COC agrees w/ labels: <br /> (Comment on COC if N) <br /> 7 . Headspace in VOA vials-waters only <br /> (comment on COC if Y) <br /> 8 . VOA samples preserved: <br /> 9 . pH measured on preserved non-VOA containers: _ <br /> List discrepancies <br /> 10. Dissolved metals samples present: <br /> To be preserved: �— <br /> To be filtered: T <br /> 11 . Short holding times: <br /> Specify parameters <br /> 12 . Multi-phase sample (s) present: !` <br /> 13 . COC signed w/ date/time: _ <br /> Comments: <br /> (Additional comments on ba k) <br /> Custodian Signature/Da e: JAI <br />