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SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME: P DATE Received at Late: ck <br /> 04- (Drinking water) For <br /> REC. BY(PRIN-1) t� <br /> TIME Received at Lab: <br /> regulatory purposes: YESINO <br /> WORKORDER: LOG IN DATE: (Wasteiyater) for <br /> P469:8 Ll <br /> regrulalory purposes: YES/NO <br /> CIRCLE THE APPROPRIATE RESPONSE LAB SANIPLE DATE <br /> SAMPLE#,I ' # CLIENT ID DESCRIPTION AIATRIX Spl.[` El) CONDITION(ETC) <br /> I. Custody Seal(s) u�7—prese t --- <br /> m <br /> 9n d roken <br /> 2. cllqill-2LGislad �—Frent�/Absei�iO <br /> 3. Traffic Reports or <br /> Picking List: Present bsettt <br /> 4. Airbill. Airbill l Sticker <br /> Present 67e�it <br /> S. Airbill 4: <br /> 6. Sample Labels.. sen Absent <br /> 7, Sample IDs: I i�st e Not Listed <br /> oil Chain-of-Cpsludy <br /> 9. Simple Condition: 075t , Broken*'/ <br /> Leaking* <br /> 9. Does inforrnafian on <br /> custody reports, traffic <br /> reports and Sample <br /> labels agree? I No* <br /> 10. Simple received within <br /> hold fillie-, Cl%No* <br /> 11, Proper Preservatives <br /> used: a�"/Nq!— <br /> tZ, Temp RC IL Lab" <br /> (Accepl.ince range for samples <br /> leguiling 11temml vrk.:44-1-2'Qy�eso* <br /> M VIP&2— <br /> If Circled, colltact Project Manager and attach record of resolution. <br /> Sample R Pcelpt 1,09 <br />