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s <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> IF <br /> ' F DATE RECD AT LAB. %E�L <br /> '0� For RoyulatarY Purposes? i <br /> CUENTNAME: 5 ��� A: _ RAI�lKING WATIrIi YESINO <br /> Rt=C.f7Y(PFif�f� l }�..�. '� _ � TfN[E REO'D AT LA - <br /> DA7E LOGGED[N: ,� WASTE WATER YES!NO <br /> WORICORDER: MIN G 20I __...r— , <br /> (Forcfiertts requiring prosclvabon chocks at receipl,docunietti hero ) <br /> LAA GASH CC]NTAINER PFIESERV TS, <br /> AMPL>=Fsm' <br /> RL?aA[tfCS: <br /> CIRCLE 7F1E Af'PFlaBRIQTR Rf:S[OUSE CLIENT ID ��SCRIPTT�N ATIVE pR1A7AgCAP1.r0 COND1710H(ETC) <br /> AMPLE g t <br /> 1 Gtistndy Sell(s) 0Oz. <br /> 2 Chair€-of-Custod _1'rosen17Absent! <br /> 3 1 raific Reports or ., Uv t.,t ?, <br /> Paci£irg List _ Prownl l <br /> 4 Alrbill <br /> Airblll i 't-r ' r r L+l <br /> y yr <br /> ra t 1 Absent <br /> !3 Sam [e Labels: I I Abs ani _ s <br /> 7 Sampla IDs <br /> ' - on Chain-of-Custody _ <br /> I — - <br /> tl Samp!aCortdition• rti tlHrakvrt`1 <br /> Leaking' ~-200tA <br /> S. Does 4rtfornialion un chairs-*f-custady, <br /> traffic reports aild sample faboFt� - <br /> eire*? <br /> 10 Sarnpir.received wi[hln <br /> hold bme9 e . ._--- <br /> 11.Ado qualo srtroplo voWmo — <br /> reca►v"d? 6�IDV Ne --- <br /> 12 Proper Preservatives <br /> used? <br /> i Tn�i Bic n Temp Blrink Recalvad? _ <br /> tsrcis xn ch,it es Ye 1 t4o` _�.... <br /> J . <br /> _ 14 Tamp Rm at Lab- <br /> Is <br /> Is temp 4+I 2"C? e 1 No•' <br /> z(Ar[eptar.ac rlilga lw samocs coquiring ihcrmal pros) ,.,. _ —� -w• - - . "" _ —' <br /> "Excopbon(i(any). METALS 1 OFF ON ICI; <br /> or Problem COC a # <br /> w 'IF CifiCLED,CONTACT PROJECT MANAGER AND ATTACH RECORD OF RESOLUT[ON � <br /> Slti Re rasion G Pgct of <br /> ncpla=Hwl 5(aem'rl ) - <br /> Gife:l�.a DTti�i <br />