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4 Y <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> EI�II'Nr�I51E: DATE Received at Lab: (Dnuking water) fur <br /> CLI <br /> 1t l ' {PltJE: TIME Receiver! at Lab, regulatory put poses. YES/NO <br /> 15'UR[CUtitlt?,tt <br /> LOG IN DATE- (Wastewater)for <br /> regulatory purposes YfaSl{�iQ <br /> CIRCLE TETE APPROPRIATE RESPONSE LAB <br /> SAMPLE DATE <br /> SAMPLE# # CLIENT ED flESCRIPTION MATRIX 8 LEU COND111UN (ETC ) <br /> I Custody Seal(s) Absent <br /> Titre Broken* - <br /> ' 2 Cliatir-of-Custod reser Absent" <br /> 3 frafflc Reports or <br /> Packing List Presentbsent <br /> 4 Aubill Airbill I Sticker <br /> Presen se <br /> 5 Aicbilt# <br /> ri Sample Labels Abserit <br /> 7 Sample.Ills ��s e of Listed <br /> c ol!CI133I1-Of-CtI5t0(1 <br /> 8 Sample Condition Broken*I <br /> Leakrtt * <br /> 9 Does infoiniation on <br /> custody repos ts, traffic <br /> reports;Ind sample <br /> labels a reel No* <br /> 10 Sample mr mcd within <br /> iiolil11Il1C es No* <br /> I l Proper Preservatives <br /> used es No* <br /> 12 Temp Re(, a:for <br /> (Acceptance ranrtiyEesrc +i1rlli therl►t41.2°C) �eso* — <br /> *If Circled, colitget Project Manager and attach record of resolution. <br /> Sample Receipt Log <br /> Revision 2 1 (11/14100) page- of——_� <br />