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SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME `�S cam' pC­z's WORKORDER Vv�" <br /> REC BY (PRINT) fµrt DATE OF LOG-IN D <br /> CIRCLE 111E APPROPRIATE RESP011SE LAB <br /> SAMPLE DASI I CON FAINER SAMPLE DATE REMARKS <br /> 1 Custody Seal(s) Present /C <br /> tr # # CLIENT IDE14TIFICATION DESCRIPTION MAI RIX SAMP CONDITION (E 1 C ) <br /> Intact / B A ' <br /> T— C&�� 50c.tn -2/4 <br /> 2 Custody Seal # Put to Remarks <br /> Section <br /> 3 Cham-of-Cuslody ►assn 1 Absent' G 71 A <br /> 4 Traffic Reports or o a,'L <br /> b - 5 <br /> Packing List Present 1 fi erlt .� Q , G r 2 h <br /> 5 Afrbill AubEtl 1 Sticker <br /> Present 1 bI GT 3 V A <br /> 6 Akblli # <br /> 7 Sample Tags Phain-of-Ctistody <br /> �!Absent C rC <br /> Sample Tags #s Not Listed <br /> 8 Sample Con(1Ebon nt 1 Biuken' / <br /> krny" <br /> 9 Does Information on <br /> custody reports, traffic J <br /> reports and sample <br /> lags agree? 6ye, <br /> / No' - <br /> 10 Proper Preservatives <br /> used 10/ No' <br /> I1 Dale Rec at Lai) 7, <br /> 12 Time Rec at Lab 1 -3 � <br /> 13 Temp Rec at Lab <br /> "1f Circled, corilacl Project Manager and allach record of resolution r <br /> Df <br /> Revision 6118197 Page ` <br /> nrVTJ nr,YJ S <br />