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>_ rri Iii• M M M M <br /> SEQUOIA ANALYT ICAL SAMPLE RECEIPT LOG <br /> FREC <br /> NAME 3cx' p� WORKORDER <br /> (PRINT) w`�tDATE OF LOG-IN0 µ <br /> E APPROPRIATE RESPONSE LAB <br /> i <br /> SAMPLE DASII CONTAINER SAMPLE DATE REMARKS \ <br /> 1 Custody Seal(s) <br /> Present /chstuTV # # CLIENT IDEN CIt iCAI ION DESCRIPTION MATRIX SAMP CONDITION (ETC )intact / B <br /> 2 Custody Seal # Put m Remarks r <br /> Section <br /> 3 Chain-of-Cuslody rased l Absent" C L <br /> 4 Traffic Reports or l7 <br /> Packing List Present en# <br /> 5 Airbrll AirbilllSticker <br /> Present / rsrif C <br /> EE <br /> 1C <br /> 6 AFrbrll # -1 T <br /> 7 Sample Tags reser I Absent <br /> Sample Tags #s rsG 1 I\ Listed <br /> I <br /> 8 Sample Condilion nt �I / 1310ken` 1 <br /> L`eakiny" <br /> 9 Does information on LL <br /> cuslody reports, traffic <br /> reports and sample <br /> lags ayree7Ye 1 No" <br /> f 10 Proper Preservatives el <br /> f used -01 No" <br /> 11 Date Rec at Late 7i r� <<f <br /> 12 Time Rec at Lab 13 <br /> 13 Temp Rec at Lab <br /> "If Circled, contact ProjectrManager and allach record of resoluilon v <br /> Revtsivn 6118197 <br /> Page of <br /> RCPTLOG XL5 <br />