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i i i i i i i � t♦ � � � � � � t♦ t� � i <br /> • SEQUOIA ANALYTICAL*PLE RECEIPT LOG <br /> CLIENT NAME `� �L�' P� 1 WORKORDER l� U <br /> REC BY(PRINT) DA FE OF LOG-IN <br /> CIRCLE TILE APPROPRIATE RESP014SE LAB <br /> SAMPLE DASII CONTAINER SAMPLE DATE REMARKS \ <br /> 1 Custody Seal(s) Present 1 bsent # #1 CLIEN r IDENTIFICATION DESCRIPTION MATRIX SAMP CONDITION (ETC ) <br /> Intact / B 7 <br /> 2 Custody Seal # Put m Remarks n <br /> Section r <br /> 3 Chaiir--of-Custody (!:Iesert 1 Absent" <br /> 4 Traffic Reports or �. <br /> Packing Lis( Present/, Gent V J� <br /> 5 Afrbill Aiiblll / Slicker ►/ <br /> Present 1 C <br /> 0 Alrbill # ------ ` _ p <br /> 7 Sample Tags reser /Absent <br /> Sample Tags #s Is{e / Not Listed <br /> pain-of-Cuslody <br /> 8 Sample Corldition lit / Broken" / <br /> krriy" f <br /> 9 Does Infoonalion on Lq <br /> custody repoits, traffic <br /> reporis and sample <br /> lags agree? (Ye- <br /> / No" <br /> 10 Proper Preservatives <br /> used 0/ No" <br /> 11 Date Ree at Lab <br /> 12 Time Rec at Lab 1 3 �a <br /> 13 Ternp Rec at Lab I ;L,(., <br /> x s "—' r r rrr < r, r. r r r r s . ^rr s r > <br /> `if Circled, contact Project Manager and attach record of resolution <br /> Revision 6118197 Page of <br /> RCPTLOG XLS <br />