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i SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME. DATE Received at Lab. (Winkmg water) for <br /> REC BY (PRINT) ' TIME Received at Lab: regulatory purposes XESINt) <br /> WORKORDER LOG IN DATE: (Wastewater) for <br /> regulatory puilmses- VESINO <br /> CIRCLE TnE APPROPRIATE RESPONSE LAD SAMPLE DATE <br /> SAMPLE# # CLIENT ID DESCRIPTION MATRIX SAMPLED CONDITION(ETC) <br /> I Custody Seal(s) set /Absent <br /> t/Broken* fT <br /> 2 Chauror Cttstod res nt/Absent* <br /> 3 Traffic Reports or <br /> Pac ung List Present 1 s i <br /> 4 Airbill Airbill I Sticker <br /> Present/ ses I I <br /> 5 Airbill# <br /> 6 Sample Labels 1 Absent <br /> 7 Sample IDs /Not Listed <br /> ort lin-of-Cuslo�d <br /> 8 Sample Condition ittac Broken* <br /> Leaking* <br /> Does mfonnation on <br /> custody reports, traffic <br /> reports and sample <br /> libels a tee? !No* <br /> 0 Sample received within <br /> hold [hire , e l No*I <br /> I Piaper Preservatives <br /> used e /No" <br /> 2, Ralil Kcc at LA 9-51 <br /> Acceptance range for samples <br /> tx uu ttt� thet ural rtes 44/.2°C) QJ No* <br /> - r t: <br /> if Cir cletl, coninct Pr ojeet Manager and attach record of resolution. <br /> a <br /> sampfo Recelr1 I og <br /> Ra,t-, , i ri t!Iomm — - <br />