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� �� 1� l� lllll� l� � t>• � i♦ � � i♦ � <br /> SEQUOIA ANALYTICA AMPLE RECEIPT LOG <br /> FF-CIRCLE <br /> E14T NAME � 5�c, � (SCG � WORKORDER <br /> BY (PRINT) kw1-- DATE OF LOG-IN <br /> TILE APPROPRIAIE RESP014SE LAB <br /> SAMPLE DASII CONTAINER SAMPLE. DATE REMARKS <br /> 1 Custody Seal(s) Present 1 bserit— # # CLIENT IDENTIFICATION DESCRIPTION MATRIX SAMP CONDITION (ETC ) <br /> Intact 1 B _ f <br /> cc) SCLI[l rt[��l< S fern �f Il �g <br /> 2 Custody Seal # Put u1 Remarks r <br /> Section zo �r Ted G <br /> 3 Chairt-of-Custodyr('eri/Absent' �� y <br /> 4 Traffic Reports or <br /> Packing List Present 1 tjsenl <br /> 3 Airbill Airbill / Stacker _ <br /> Present/ IsiI <br /> 6 Alrbill # <br /> 7 Sample Tags reser 1 Absent <br /> Sample Tags #s Ise 1 Not Listed <br /> pain-of-Cuslody <br /> 8 Sample Condition �I I Broken` <br /> I <br /> f�king• <br /> 9 Does information on <br /> custody reports, traffic <br /> reports and sample <br /> tags agree? (Ye' / No` <br /> 10 Proper Preservatives <br /> used / No" <br /> 11 Date Rec at Lab Z/� Ictg <br /> 12 Time Ree at Lab 1 3 z Co <br /> I`r 13 Temp Rec at Lab <br /> y . <br /> 'if Circled, contact Project Manager and allach record of resolution <br /> Revision 6/18197 Page��of <br /> RCPTLOG XLS <br />