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• 0 s <br /> SEQUOU ANALYTICAL SAMPLE]RECEIPT LOG - <br /> FIR1 / Drinking water for <br /> AME. S�° DATE Received at Lah: �/TIME Received at La'b: ?S regulatory purposes: YES/PRINT) "-� wastewater for <br /> DI�R• `�0 � LOGIN�ATE: rcgulatorypurposes. Y J1`xD <br /> CONTAINI✓R SAMPLEDATE RE`HE APPROPRCATE RESPONSE LAB SAMPLED CONDITION TCAMPLE# # CLIENT ID DESCRIPTION MATRIX Presen hetals) j.�Intact/Broken* <br /> ustad rest 1 Absent* <br /> 3. Traffic Reports or <br /> Packtn List Present i sent <br /> a = <br /> 4, Aixbili Airbill/Sucker <br /> Present) sen <br /> Y <br /> S Airbill# 1 <br /> s <br /> b Sam ple Labels ese /Absent <br /> 7 Sample LDs Not Listed <br /> on Chin-of-CUstad <br /> a <br /> z <br /> 8 Sample Condition n L/)3roken*1 <br /> Leakin <br /> 9 I)oes information on <br /> i r <br /> � custody reports,traffic <br /> i <br /> reports and sample "V <br /> labels a reel s/No* • <br /> r f <br /> j 10 Sample received'Vvitlrlu No* ; <br /> } hold time <br /> III Proper Preservatives t <br /> used Y 1 No* <br /> 12 Temp Rec at Lab . <br /> Is temp 4+1-rC? <br /> Yes a** <br /> L(A=ptwanca,.ran,,,ge&r samples xequirmg thermal Pres) <br /> ti (f any) Metals/DFF on ice?/DFFn cel <br /> 6W "dzMt=CNnj=W <br /> roblem COC <br /> *If Circled Contact Prdect Mana er and attach record of•resolvition. <br /> Sample Receipt log <br /> Page of <br /> Revlslon 2 3(12123102) <br /> f?epfaces Revfslon 21 (04111102) <br /> Effedrve 12/24/02 <br />