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SEQUOIA ANALYTICAL SAMPLE RECENT LOG am <br /> DATE REC'I)AT LAB• gh�1�`4 For Regulatory Purposes? <br /> CLIENT NAME: 1�''�3� DRIKKINGWATER YES/0 <br /> REC. BY(PRINT) P TIME RECD AT LAB: io1°� <br /> WORKORDER: <br /> DATE LOGGED IN: � WASTE WATER �!NO <br /> (For feats requiriny preservation checks at receipt;document Stere } <br /> LAE; DASH CONTAINER PRESMV H SAMPLE BATE REMARM: <br /> C1RC1>= 'HE APPROPRIATE RF_.SPONS>r CLIENT ID DESCRIPVON ATIVE P JVIATRIX SAMPLED CONDITION PC) <br /> 8 MPLE# # I ._[ <br /> tAJ 90/oft <br /> Vit <br /> 1. Custody Seal(s) Present! 3 r, <br /> Intact!Bra en* <br /> _s < <br /> 2 Cham-of-Gusto bsent* <br /> 3.Traffic Reports or <br /> Paclqno List Present I <br /> 4 Airbilf - Airbilf I Sticker -- <br /> Present b <br /> 5.Airbill rin <br /> 6.Sample Labeis: re IAbssnt - It <br /> 7. Sample IDs Li Not Listed �2 <br /> on Chain-of-custody Piz 711 <br /> S. Sample Condition- nta /Brokeel I <br /> Leaking* <br /> s. Does information on chain-of-custody. QCT <br /> traffic reports and sample fah Oq <br /> a reel? e o <br /> 10. Sample received wrtttin <br /> hold time? No* <br /> 11.Adequate sample volume <br /> received? a Noy' <br /> 12. Proper Preservatives <br /> u 214o* <br /> 1 ,Tnp BI amp Blank Deceived? <br /> (cinch%wh,if es e <br /> 14 Temp Rec at Lab- <br /> Is temp 4 4-2C? (fay/NO" <br /> (A=aptwrA range for samples requiring thermal Pros) <br /> **Exception(d any) METALS I DFF ON ICE <br /> or Problem COG <br /> *IF CIRCLET),CONTACT PROJECT MANAGER AND ATTACH RECORD OF RESOLUTION: <br /> $RL Revision 6 Page of <br /> �ces NavS <br /> a n7/1,�X14 <br />