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i <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOC _ - <br /> - •_. * _ <br /> - CUENT NAME SZ,eC DATE RE;C'D AT LAR. LI-Volt DRINKING WATER for <br /> r REC BY(PRINT) 1IME REVD AT LAB. regulatory purposes YES N <br /> WORKORDER All) Dbe_)4?-V DATE LOGGED IN. - _a WASTE WATER for <br /> regulatory purposes YES NO <br /> ClIICLE THEAPPROPRIA'fE RESPONSE 4A8 OASFi CLIENT It} CONTAINER- PRESERV SAMPLE DATE RLMARKS. <br /> SAMPLE# # Or-SCRIPTION ATIVC MATRFX SAMPLED COr�ofl70N(ETC) <br /> t cw tooy Seal(s) present! s _. - -- }� F [ <br /> Intact Broken` 1+_ - <br /> 2 Chain-of-Custody res4%-V Absent; -�_— - - - <br /> 3 Wfiic Reports or _ }� <br /> Packing List Presen!G be_e—jD> <br /> 4 I1irbill Airw aftc 'y%t lb--• <br /> -0 --reset absent - --- " <br /> S. S�nrralcbcls -_ reser+- 1lbscnl — -- <br /> 7 SamXe,IDc= I.islecf hott.Ested <br /> f <br /> un ChalwowvSlod - <br /> B Sample GonrllUon ntac Broken" <br /> 9 noes information on _ <br /> chain-cf-custody,tra#ffc <br /> reports and sample <br /> ? <br /> labels acJrei?7 - <br /> D0. Sampfe received wilhin, - <br /> hold lima: Oe f No* <br /> f Adequate sample volume _ r - <br /> receiyed? <br /> 12 Proper Prq5enrabves — <br /> k, <br /> used. <br /> D temp Rec at Lab: <br /> Is temp 4+1-2°G7 es No" - <br /> `+� Cap[arm range fa r as mptrs requ"uuig therrna rpres.] _ - ,, _ r...� ,,..., _ _ <br /> ,-.,a n(it any). METALS t DFF ON IGF <br /> �rot�IeM COC <br /> - <br /> "IF CIRC LEI?, CONTACT PROJECT MANAGER AND ATTACH IIECORD OF P SOL UTION. <br /> Lq ' n3(fl3f1BJQ3} � Page <br />