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_ SLQZFOTA ANALY'FICAL SAMIPT F ITLCMPT I.il(Y <br /> ' ,^Uri lti llcccited ryt],ab:` T113 Prinking water for <br /> KI., <br /> tC;Dy(I'1iIIy7') TIATP Reeemil at Tali. regulatory puUmses: YES 00 <br /> s � ��� - �� _ <br /> WORKORDER M P, 6d,6 7" LOG IN DATE. Ivaslewaler for <br /> regulatory purposes. YL+ ND <br /> CIRC LRIFIKAVTROPRUT R RKSPONSLr LAD (:ONTAIIqER SAWIPLE DATE 1tXhIARKS. <br /> SAA1PJA P R CLIENT in UPSCRJPTroN MATRIX SAMPL11U CONDITION RTC. <br /> i. Custody5eal(s) Present IAbs en� <br /> Intact leen' - - <br /> _` }� 2.Chaim-of-Custody -,pfZip)/Abs cut <br /> s <br /> _ 3.Traffic Reports or f <br /> ' Parkin J.rst' Present b5eu0 <br /> f 4.Airbill: Alrbi1I13`Mker <br /> PresentlAl�a1� <br /> I AirbM <br /> 6.S;nre to Y.abeis Pr cn Absent <br /> 7.Sample IUs: : - Mot Listed in 21 <br /> an Chain-of-CUS104 <br /> 8 Sample Condition. I ee Broken&/ — <br /> —Leakio # <br /> 9. Does mfonnation on LL. y <br /> custody reports,traffic 1E r` io <br /> reports nad sample <br /> fabcJs agree? r�Ye3 rto* — 2— <br /> IO S;;mpla mcdived svilhm r r PIS <br /> liokl time. Ir"f No* t — <br /> a_� _ <br /> U. PfoperPrescrvntivCB r <br /> used. <br /> 12 Temp iter at Lab- �/• 'T <br /> Is temp 4+12°C? Yes/No," <br /> (r4co�p[$r►ce rs pge for samples rec wing th.-,rmal pros.) - <br /> **F.xceptinn(if any) h[e gals/D"on iee7/UFF no ice? -g - - - <br /> ar L',eb1 erre COC <br /> K *jr Ort led,con fact PLoject Manager and attach record of resolution. <br /> Samp:e ReceTpt Loi <br /> Rcvrseorr 2 s(12123102) Page �1 <br /> Replaces RgAsEon 21 JG41110) <br /> •,teirec'ti+re 12124102 <br />