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N HALL <br />ENVIRONMENTAL <br />ANALYSIS <br />LABORATORY <br />Client Name: SAKURA ENGINEERING Work Order Number. 1211406 <br />Received by /date: 44 qb <br />Logged By: Michelle Garcia <br />Completed By: Michelle Garcia <br />Reviewed By: <br />11/9/2012 10:00:00 AM <br />' 11/9/2012 1:15:46 PM <br />Chain of Custody <br />1. Were seals intact? <br />2. Is Chain of Custody complete? <br />3. How was the sample delivered? <br />Log In <br />4, Coolers are present? (see 19. for cooler specific information) Yes ® No ❑ <br />5 Was an attempt made to cool the samples? Yes ® No ❑ <br />6. Were all samples received at a temperature of >0° C to 6.0 °C Yes ® No ❑ <br />7. Sample(s) in proper container(s)? <br />8. Sufficient sample volume for Indicated test(s)? <br />9. Are samples (except VOA and ONG) properly preserved? <br />10. Was preservative added to bottles? <br />11 VOA vials have zero headspace? <br />12. Were any sample containers received broken? <br />13. Does Paperwork match bottle labels? <br />(Note discrepancies on chain of custody) <br />14. Are matrices correctly identified on Chain of Custody? <br />15. Is It clear what analyses were requested? <br />16. Were all holding times able to be met? <br />(If no, notify customer for authorization.) <br />Special Handling i f walkable) <br />17. Was client notified of all discrepancies with this order? <br />18. Additonal remarks: <br />Page 1 of 1 <br />Hall Environmental Analysis Laboratorl <br />4901 Hawkins NI <br />Albuquerque, NM 8710S <br />TEL: 505 - 345 -3975 FAX: 505 -345 -410; <br />Website:• www.hallenvubnmental.con <br />Yes ❑ No ❑ Not Present <br />Yes ® No ❑ Not Present ❑ <br />Courier <br />yes [21 No El <br />Yes ® No ❑ <br />Yes ® No ❑ <br />Yes ❑ No® <br />yes ❑ No CI <br />yes CI No IV <br />Yes 0 No ❑ <br />Yes 0 No ❑ <br />Yes ® No ❑ <br />Yes No 111 <br />Yes ❑ No❑ <br />19 Cooler Information <br />1 Cooler No 1 Temp °C 1C r dltlon Seal Intact I Seal No Seal Date Signed By <br />Sample Log -In Check List <br />NA ❑ <br />NA ❑ <br />NA ❑ <br />NA ❑ <br />No VOA Vials <br /># of preserved <br />bottles checked <br />for pH: <br />or un less noted) <br />Adjusted? <br />Checked by: — E0 <br />NA M <br />Person Notified: <br />By Whom: <br />Regarding: <br />Client Instructions: <br />Date: <br />Via: ❑ eMall El Phone ❑ Fax ❑ In Person <br />