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i • i <br /> SEQUOIA ANALYTICAL SAMPLE REC;13PT LOG <br /> r <br /> CLIENT NAME DATE Reccired at LabQ`� (Drtoklug water)for <br /> REC BY(PR1NU) TIME Rereived at Lab- Ilan regulstnry purpoNes YFS� <br /> ir{3IfICOIt ]ER. � ; LOGIN DATE la astmatcr)tar <br /> - regutalory purposes YS IN <br /> C JRCJX,THE AI"PROPRIATE RESPONSE LABSAI4IPLE DATE <br /> SAMPLE 9 # CLI1V.N 1` 1 D OWSCRIP 1[Old MATRIX SAMPLED CO14'DITION(IiTC.) y <br /> I cwt,ody Seals) Presca !A "t r 111 , <br /> 2 Cliaiu-of Cusw e (Absent' w <br /> 3 Traffic Itcports or <br /> Fsci;tt►I;L�s1 Presentb c <br /> 4 rlrr$lll Airbrlll r <br /> Prc.Rcnt! s <br /> S Airbtli <br /> d S.un ie Labcls Pr art lAlssen[ 1 <br /> 7 Sample IDs 1 Not Listcd i <br /> 'ltain•of-Custod <br /> 8 Samplu Condition luta t 1 Brokeu"1 <br /> 9 Dws tnformatian on ' <br /> custody reports,traffic <br /> reports and sample <br /> labels NO <br /> 10 Sample received Nyttlun <br /> Fold tune- A/No* <br /> I I Proper Prese;vattvos � <br /> used I Not <br /> 12 1etnp Rcc at Lab S ' <br /> (Acceptance ramp for siunp]os <br /> E r wrni lhennal tires W 70C Yes INo* <br /> -- <br /> *If(it cled,eoitittut Pi nject NInuager and tlttHch >ecor d of resolution. <br /> Sample Recalpt Log <br /> Re+dsion 2 S (i MONO) <br /> Replaces Revisfen 2(1JJDGrt30) Page of <br /> Erradw 1 ill 9m <br />