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_ SFQUOTA ANALYTICAL SAMPLE R1ECEIPT LOC <br /> F <br /> N 1 NAME: �� DA I L kcceived at Lab-. � Z t} (Drinking wa(er)[or B�.'(FRIN71 TMERecetwd atLnb � regulttorypllrposes YJs. NAKORDER; LOG IN)7A1'I3- lor (Wistevvater)fm <br /> regulatory purposes Yt nN <br /> CIRCLH THP APPROPRIATE RESPONSE LAB .SANPLF, DATZ <br /> 4Ai47FI,Gr Tt it CLTENT ID <br /> DESCRIPTION 1'IMIX SAWLED CONDITION C.) t <br /> 1.custody Seal(s) Present A seil <br /> Ilitact I D ro ee ��- <br /> 2 Cham-nf-(Xmlod+ rc [Absent* l <br /> 3 Traffic Reports or T <br /> PsckingLI&. I'rCSClll l 1 I <br /> 4 Ambill Aicbillis it er <br /> prefent! p _ r`J ' <br /> 3 A€rbill# ] <br /> 6 Sam le Labels r ! f Absent <br /> ` ? Sample Wa iJlsl 1 Not I Isted <br /> I on Cliuin-of Cautod <br /> $ Samplo Condll:omtact Broken*! <br /> !Il � <br /> 4 Does 1ltf r mation oil <br /> CUE(Odyrepcdq,traQlc ' <br /> ropMs and sample <br /> Inbels agree? <br /> LesNa* I <br /> 10 Sample receival%vilhln <br /> hold <br /> time-/Q1 Mo* <br /> 11 Proper Prcaervaims ' <br /> 12 Terap Rec nt Lab qu <br /> (Arceptdl=rRilge for samples <br /> irmg thermal pres 4 1 I-2°C) Yes 1 Nom <br /> Y�r��• AYfKa[irh ' <br /> *If C n sled,confUt Project Man.-Igor and attach record of resolution, <br /> Sampb Rl m1pt Log <br /> Rswislom M(11110M) <br /> E i�ev�slan 2(1 i rtas+hw) Page <br /> . <br /> tr tutVao <br />