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SEU M ANAL'S2 nCALLE RECEIPT LOG <br /> CLrWT N'A*: — '5 DATE 9cccAved at Lab Drinking%mtcr for ,may <br /> PMC.ZY TRT} 6 0 TEM Rec llvcd at Zab- /sr,�`� repiatory purposes: )MS40 <br /> ?3 pgeD SOC]N DATE: at -fee, 'Wastewater for <br /> regulutiory gurposcs: Y3rS 110 <br /> CIRCA THEA OPMA XE MSPONSE LAB $AWL9 DATE <br /> iRYXMAW; <br /> S AlV1wi?`I # CX:, 11"I'IDT}ESCRTP'I"rON -"�T SAI ED CONDMON `CC. <br /> 1 Custody SWIM Present/Ab �r t4 ` .� ce ori r t., �•. ,�Cr_� <br /> h tact 1 Emk=* 61V ' <br /> . Ci af-C�;scad rc !Absaat* d , ' <br /> 3.Mmf a Rcports or c <br /> Pacic a plCSent 1 � <br /> 4. Alrbill, Airbill f Stic3mr e <br /> 1 Absent np <br /> 6 S2�o. Xe S.abcls !Absent ' <br /> 7 Semple TDs l No't Us:ed , <br /> 4 <br /> bn Cc;�stod ' <br /> 8. Stele Conftoa I Broken*! <br /> AJ� y • ' <br /> 9 Does mformahun as ' <br /> C-Ileotly-*orts,=ffia � Z' <br /> reports and Sample <br /> labels e7' tefo No* <br /> a <br /> 10 Smtplo rcmvCd wig a <br /> hold time• <br /> 1I. PmerPra n attves ' <br /> used. LI No* <br /> 12, Tmp Roc,at Lab. <br /> Is t=p 4+1--2°C? No** <br /> (Aeogtanca r=ge for S=P1tS req'U ing t's�ermal pxs.) <br /> ' ccepba>t{Lf say) Metals/JFp an i-oe7!Dn no ice , <br /> o:I3 robl m COC <br /> *If CircI4 contact rrol ect mana cr ana attach record o£resolut m <br /> 'k. WrIple Rexlpt Log . <br /> Rcvlsian W(12=102r <br /> • ReplaM Rsvelon 2,1 (94h'.1021 Page_�of�— <br /> ti ma dve 12124107 <br />