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i <br /> i- i �► - <br /> ` SEQTJOIA ANALYTICAL SAMPLE REGI NT LOG <br /> C1iX1 N�'l�hbi(�; <br /> DATE RLC'DATLAB: ••? Drinkingtenter foi <br /> RE C.BY(PRIN-1) /3 TIME RLC'D AT LtO- regulatory purposes. YES} <br /> WORKORDER: DATE LOG GHU IN: '9 - 3s-s3 Wastewater for <br /> - rcgIdrttaiy Purposes: <br /> CIlIC;LE TIil3 APPROPRIATF,RESPONSE LA13 CLIFINT IA CONTAINFIR XllP ER SAMPLE DATE REMARKS: <br /> SAi1'ffLE4 fi DESCI;IP ION VATM MATRIX SAMPLED CONDITION(ETC-) <br /> 1 Cwtody Seal(s)'- rre_sua I A G- .z s G( �. .• -� <br /> Intact/Broken, I <br /> 2 ream-tyf-�ltstort reset 1 Abse�it� �� <br /> 3.Traffic Reports or - - '! <br /> Packing Ltsk,, �resa3�t Alx� <br /> 4 Airbill, Airbil1 I Sticker ' 1! <br /> �'reseltt!� � - •�-'��- <br /> 5.Aubill ff <br /> G.Sam le Labels a Absent 11 <br /> 1, SanpleJDs: .st Not Lisied 111, -on Ctram-of-Custod 'AR <br /> lip <br /> 3. S npla L:ondd�ou: �c /Broken*1 .� <br /> BY jD -- <br /> 9. Does information on I !! <br /> cuslQdy reports,traffic <br /> reports sud sample '� _ _L'r <br /> labefs s reel ND" J!! <br /> 10. Sample received witbin + - <br /> L01461TIO. <br /> 11 Proper Preservatives =vj <br /> used• t �* I L41 <br /> 1Y.TCMp Hee at X ab: +' } <br /> Is temp 4+1-2°C7 ��*" ' <br /> (Aeecptancc mnv for samples xequirmg thermal pros) <br /> ;Fsxccpthnk(if any) Metals I D F (Phod From Awtd) <br /> or Probkm CM - <br /> MF CIRCZAMCO-N rACT PROJEM'MANAGt;R AND ATTACH UrCORU OF RASOX�ilTiON. <br /> Sam&Receipt Log — <br /> Rev%TafI 3(03118103) Pagei <br /> Maces RevTslnn 2,3(72!24102) <br />