HomeMy WebLinkAbout[Untitled]_57-58Sample Integrity
Section I -Sad Same Day
ample Tran rt:
Has Chilling Begun.
Moore Twining Associates, Inc:
Page 3 of WO# -3`/ 0 0
Walk In
No
Date Received: 01 b I Lj
Transported hs. Ice Chest
Section 2- Sampled Previously
Sample Transport: UPS GSO Fed Ex MTA Courier Other:
No. Coolers /Ice Chests: I Temperature(s): % ?
Was Temperature In Range or N Received On Ice: Wet Q
Describe type of packing materials: Bubble Wrau Foam Packing Peanuts Paper Other:°
Were ice chest custody seals present? Y or N Intact? Y or N
Section 4- Bottles /Analysis
Yes No N/A Comment
Did all bottles arrive unbroken and intact?
Were bottle custody seals resent?
Were bottle custody seals intact?
Did all bottle labels agree with COC?
Were correct containers used for the tests requested?
Was sufficient amount of sample sent for tests indicated?
Were bubbles resent in VOA Vials? (Volatiles Methods Only)
Were Ascorbic Acid Bottles Received with VOAs?
Section 5- Comment/Discrepancies
Sample(s) Split/Preserve: or Container: Preservation:
Filtered: Yes o Container: P ese ation.
Was Client Service Supervisor notified of discrepancies: Yes or No N/ Notified by:
Explanations /Comments:
Initials:
Initials:
Labeled by: Checked by: Page 25 of 26
FL -SC-