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SEQUOIA ANALYTICAL SAM LE..RECEIY-r 1,0G <br /> CLIENT NA 7k�.• ..�ATGRcccv,ed at l..1b �Slo (Orhiking Stater)for <br /> UEC BY(IrRIN71) ('G� IUNIE Reccivc4 sit I.nb regulafniy purposes• YES& � <br /> WOR ORDER- I OG IN PATH, (Wss(cti�stcr) for <br /> regulatory livrpom, YF <br /> C;IIRCLVI119APPROPRIATE RESPONSE LAI] SAMPLE DATE <br /> SAMPLE# ff CLIENT IU DESCRJFTION NTATR1X SAMPLED CONDITION{RTC) <br /> i Custody Seals) rese I Absent Lo— � modem <br /> ci f I3 ral,eu* <br /> j 2 Chant-nf Custody r sen Absent .` <br /> I Traffic Reports or <br /> Packing List Present! s <br /> 4 Airbill- AirbiII Sl kimy, - <br /> Present <br /> it- <br /> 6 stun le Labels dSipiI Abecat <br /> 7 Sample IDs s I Not Listed <br /> _ i C! IlaIti-ot-C:UStOiiy <br /> S. Sample Condition rfaLPDroken°i I <br /> g <br /> } <br /> ' 9, Does information on <br /> i <br /> custody reports,traffic t <br /> rcpilri9 and sanipl1, <br /> labels uy(ee7 cs Noy <br /> 10. Sample reserved Ynthin <br /> hold tuns No* <br /> I1 Proper Preservatwes <br /> Mcd_ e I No* ' <br /> 12 Temp Aec at Jib G <br /> (Acmplance range for sa,nples <br /> Irequiring tliernial pres-4 t1--2°C Yes/Nlo* <br /> w Y.9L\atKS M;SRN.V,[<d4iYtiiSl<nwritSNYaGiW+.OIUCPYR«'hVla'YP[ta <br /> :'If 0isteel,contact Project 1t�I�nagcr andattachr ecoid of t cSolution. <br /> Sample Fteaeipt Lug <br /> Rewision21 (1VIWOO) Page of <br /> co <br /> Roplas Rov on 2(11WM) � <br /> G{ror+hro IIHIM <br />