Laserfiche WebLink
c <br /> r SEQUOIA ANALYTICAL SA* I LUV - <br /> CLIENT NAME: pe tj rl C )" L�� , Z�3 MASTED? LOG NO. l PAGE: 1 L1 5,tk <br /> REC. BY (PRINT): ' DATE= OF LOG-IN: `� l- <br /> CIRCLE-P lE APPROPRIATE RESPONSE LAB SAMPLE DASH CLIENT CONTAINER SAMPLE DATE REMAnKS: <br /> # N IDENTIFICATION DESCRIPTION MATRIX SAIAP. CONDITION (ETC) <br /> Custody Seal(s): Present - 0 _L:_L fl,% 7 �� � <br /> r- FSnt - <br /> Inlacl 1 Broken <br /> 2. Custody Seal Nos.:. u �>>> - Tf�" i -- <br /> ��- .i_ a <br /> 3. Chain-of-Cuslody 'Eres:e)nl Absent' <br /> Records: 97 <br /> ` <br /> 4. Traffic Reports or Present <br /> Packlhg 'CI'sl: 0 ? <br /> r 12- <br /> 5. Alrbill: Alrblll l Stic er 1 <br /> Present ! AbseAl <br /> 6. Airbill No.: '`--- <br /> 7. Sample Tags: F <br /> enl Absent'Sample Tag Nos.: d of <br /> Listed ''� r' <br /> on Chain-of-Cuslody [ -� <br /> 8. Sample Condition: Inig-I/broken'/Leaking' <br /> CA <br /> 9. Does Information on 6�) / No' TFL I ) ` <br /> custody reports, traffic — k' ' <br /> . 3 <br /> reports and sample tags agree? Z �' <br /> CSL l No' r" <br /> 10. Proper _ <br /> Preseryallves Used: <br /> I I. Date Aec. at !_ab: - 41-1:1a <br /> 12. Time Rec. et Lab: 4s <br /> ' If Circled, contact Project manager and allach record of resolution <br /> Form scoot pa r, �— 0f� <br />