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SEQUOIA ANALYTICALAAPLE RECEIPT LOG <br /> CLIENT NAME WORKORDER <br /> REC BY (PRINT) DATE Or LOG-IN f Z <br /> CIRCLE 1 H APPROPRIATE RESPONSE LAB <br /> SAMPLE DASD CONTAINER SAMPLE DATE REMARKS <br /> 1 Custody Seal(s) Present leVs-e-rN # # CLIENT IDENTIFICATION DESCRIPTION MATRIX SAMP CONDITION (ETC )_ <br /> Intact 1 BrZKLI I PP <br /> 2 Ciielofly Sial If Put u1 R(smaik5 <br /> Scat lion <br /> r <br /> 3 Chain-of-Custody Pres 1 Absent' �S <br /> 4 Traffic Reports or lJ'� <br /> Packing List Present bsen <br /> 5 Airbill Airbill 1 Sticker <br /> Presentbrei <br /> 6 Airbill # <br /> 7 Sample Tagsresei /Absent <br /> Sample Tags #s ist / Not Listed l <br /> on Cham-of-Custody <br /> 8 Sample Condition )l Broken`1 <br /> Leaking' <br /> 9 Does information on <br /> custody reports, traffic <br /> reports and sample <br /> tags agree? QN) No" <br /> 10 Proper Preservatives <br /> used No` <br /> 11 Date Rec at Lab <br /> 12 Time Rec at Lab n-� <br /> 13 Temp Rec at Lab <br /> "if Circled, contact Project Manager and attach record of resolution <br /> Page of <br /> Revision 911086 <br /> RCPTLOGI XLS <br />