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irr rr r r r r rpt r r� rr rr it rr r! rl rr r irr iwr <br /> ((�� SEQUOIA ANALYTICA1,SAN'IPLE RECEIPT I,OC <br /> r(MLENT NAME: t)zj DATE Received at l.ah: (1)rtrrkiiig water)for <br /> 1�1;C. BY(MINT) <br /> TIME Received at Tmb: Y <br /> t� 3 regulatory purposes: <br /> ���ORKUk1MR! c` O$ �_-- LOG ISN DATE: S (Waslet4'aler)for �J <br /> regul9fory purposes; YR <br /> 1 <br /> CIRCJF,THE AP )IOPRIATE,RESPONSE I.AR SA 'LE DATE <br /> i <br /> SAMPLE# # CLUNT m DESCRIPTION MATRTX SAMPLED CONLwicioN <br /> 1. Custody Scal(s) Prescilt Abd t --� <br /> Ill—t l <br /> 2- Chxin-0f-Cmlod resen f Abscnt' (� <br /> 3. Traflic.Repc:ris or <br /> PackingList: Present bec J <br /> 4. Airbill: AirbiII lSlieker '"� C�ZO <br /> LA <br /> Preseatt A sen <br /> S. Airbili#: <br /> G. Sam IeTahcls: P tIAbseat <br /> 7. Simple IT)s: T ' c Not Listed f <br /> r <br /> a hain•of•Custud <br /> S. Slnmpie Condition: Tntael Broken"1 <br /> � r t <br /> t <br /> 9. Does information on <br /> i <br /> custody reports,traffic <br /> reports and sample <br /> labels agree No* <br /> io. Samuplereceived within <br /> hold 1 ire ^IND' <br /> 11. Proper Prezmativcs j <br /> used: f No- <br /> 12. <br /> oQ12. Teaup Rec.at I ab: <br /> (Acceptance range for samples <br /> requidap,thermal res.A+1-2°C Yes)No* <br /> AIf Circled,contact Project Manager and attach record of re-solution. <br /> Sample Recalpt Loy <br /> RovlsTon2-i (1 ill WOO) Page of <br /> Replaces Revision 2(11106M) <br /> t:ffectfva ti/12M <br />