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SEQUOIA ANALYTICAL SANUILE RECEIPT LOC <br /> F w..rrraY r+.nvrrw•r i er �r.n.rrn_r•rti rr. - ♦ r w i-r .♦ ....r.e a sn .:t .r r.rmw..ir r♦reu.� �.r♦wt .rrix♦♦ • •♦ <br /> CLIENT NAh7 E )? DATE Received at tabs (Drinkfog 1tater)fat <br /> REC BY(PRINT) 'I1�4�I��Received at Lab- regidn(ary purpn4ec. Y IN � <br /> WORKOWDER: LOG IN DATLO `t-- -- -__ (Wfis(clvatcy)fol <br /> i <br /> I regulataly purposes, 'Y <br /> CIRCLE THE APPROPRIATP,ttlr-Sl'()N.SF, LAD SAMPLE DATE <br /> SAM19-R if 11 CLIENTID DF,SCRIPTIOI1 MATRIN SAMPLED CONDITION(FTC,) <br /> I Custady Seals) Present Alas `fit 0 1 1)0 Co WAS - <br /> Intact 1 taro cn " <br /> C�1�i14 a {'usta{Ly ncCn Ahsenl' 0 —3 ' <br /> 3 Tm,ffic Rcports or <br /> Poeken List k�reae,it J lrsen O <br /> 4. Airhill AirbsilJStic er OLO �- <br />� <br /> 5 Airbtll9 <br /> 6 Sam le Labels ase /Absent <br /> 7 Sample Wsa NW Listed i <br /> on Chain-of-Custody <br /> 3 Sample{andirion• ntact Broken*J <br /> Ing <br /> 9 Does mforwation ort <br /> custody retorts,traffic <br /> reports:Ind SaTnple <br /> labels a gee? es Noy <br /> 10 Sample received within <br /> hold <br /> III ProperPrescrvahves i <br /> used. <br /> 12 Ti.mp Rcc at Lab <br /> (hoceptancc Tank for samplos <br /> reRniringthennal trea 441-2°C YesII�[o} <br /> :'If Circled, cbnl;tet Proje 'resoluiion. <br /> Sample Recetpl L*g <br /> RevisTon 21(111LOW) <br /> FcpTaoes Revision 2(1I/Moo) Page OF <br /> Effedwe I i J 12100 <br />