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SEQUOIA ANALYTICAL SAMPLE RECE,11-P LOG <br /> Cf.UNT NAIME. 7DATE Received ii It Lab: i� l {tlrinici�,��►ater}fur <br /> RFC 1iX(PRINT) A. c.2 _ TOM Received at Lair �L��� mnflatory pin poses, YFl f'fQ <br /> WOIRKQ.I�MW <br /> l4 1!1 LOG IN DATE. 6i � b (Misfcsvater)for <br /> regulalai y purpnses• Y !202 <br /> U r <br /> CjRCL THF,APPIZOPItIATF RF�SPONSF, J.AT3 SA141FLI� DATE <br /> SAMPLE 9 11 CU RN 1711) DYSCHIPTXON MATRIX SAMPI- .1) C O1�1}fll1QN(KFC-) <br /> 1. Custody seal(q) Prmcnti Absen <br /> intact f 13ra on <br /> 2 Clam ol•-01slody resen Absent <br /> ` 3 Traffic Reports or <br /> Facking List Fresco � <br /> 4 Aerbill Aobill! r <br /> Presant Ansett <br /> S.Airlrili fl- , <br /> &Sam lc t,hctg t!Absent <br /> 7 SampleJas isle lWLtsted <br /> Oil Chain-of-Gltslad <br /> 8 SampiaCondttton rltact Broken*! <br /> 9 Lace rnfarmmton an <br /> custodyrepoits,traffic <br /> I reltorfsen[Isample <br /> ]abets ee? a* <br /> 10 Sample received within <br /> hold tine No* <br /> 11. ProperPreserv,fives <br /> used <br /> s <br /> 12 Temp Rec at Lab <br /> (Acceptnncc range for samp les <br /> r nrrin lhenual res-4�I-2° Fes!NO <br /> x <br /> *If Circled, contact Project Manager ttnd attach rumd of resolution, <br /> Sansple Receipt Leg <br /> Revision 2 1(11110Mo Page-of <br /> RexplaCos Romeon 2(1 1106M) <br /> 1"ffeeUve 1111711 � <br />