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low <br /> SEQUOIA ANALYT ICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME f:" WORKORDER UV L <br /> REC BY (PRINT) DATE OF LOG-IN d ` <br /> CIRCLE 111E APPROPRIATE RESP014SE LAB <br /> SAMPLE DASII CONTAINER SAMPLE DATE REMARKS <br /> 1 Custody Seal(s) Present / bse>ir # # CLIENT IDENTIFICATION DESCRIPTION MATRIX SAMP CONDITION (ETC )__ <br /> Intact / B a 1 N <br /> 1 cod 50oo 2A 6 <br /> 2 Custody Seal # Put in Remarks .� <br /> Section <br /> 3 Cfrallr-of-Cuslody fe5eE1 !Absent" G I 1 A <br /> 4 Traffic Reports or <br /> Packing List Present / l;�nt <br /> G r2 <br /> 5 Airbill Aubill / Sticker U� <br /> Present 1 1s G V 3 �} <br /> 6 Airblll # <br /> 7 Sample Tags iesei' I Absent <br /> Sample Tags #s is e / Not Listed <br /> ham-of-Cuslody <br /> 8 Sample Condition nl 1 Broken'/ <br /> klny" <br /> 9 Does information on <br /> custody reports, traffic <br /> mpoits and sample <br /> lags agree? 6Ye- / No" <br /> 1t7 Proper Preservatives <br /> used 9/ No' <br /> 11 Date Rec at Lab <br /> 12 Time Rec at Lal) 13 <br /> 13 Temp Rec al Lal) ;Ldb <br /> r , ,. r r r ,} s + ,1,. »>♦� ♦ c . +. •+v . rti>r o , ♦ ry++. >+ rr r7 h }v ♦ .... .. r rr <br /> V Circled, contact Project Manager and allach record of resolution Page l of <br />