Laserfiche WebLink
i • • y <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> (Drinking water for <br /> CLIENT NAME. G✓ l� DATE Received at Lab ! g ) <br /> REC. BY (PRINT) G TIME Received at Lab: ki regulatory purposes: YESINO <br /> WORKORDER: � � LOG IN DATE. (Wastewater)for <br /> regulatory purposes: YESINO <br /> CIRCLE THE APPROPRIATE RESPONSE LAB SAMPLE DATE <br /> t SAMPLE# # CLIENT ID DESCRIPTION MATRIX SAMPLED CONDITION(ETC.) <br /> 04, <br /> 1 Custody Seal(s) resen /Absent /i'JG�(- f i G( `- Z 7 <br /> !n Broken* <br /> 2 Cliaiji-of-Custod_y trese4l Absent* <br /> b <br /> I Tmffic Reports or <br /> Packing List Present I ' PV <br /> 4 Airbill AubIll/S cker <br /> Present/ <br /> 5 Airbill# <br /> b Sample Labels n I Absent off�� <br /> 7 Sample IDs nsted Not Listed <br /> oBain stud <br /> 8 Sample Condition Intact/ roke 1 <br /> Leakiii <br /> 9 Does information on <br /> custody reports, traffic <br /> reports and sample <br /> labels a gree'? es No* <br /> 10 Sample received witlun, <br /> Bold time 6;),No* <br /> 11 Proper Preservatives <br /> used No* <br /> 12 Temp Rec at Lab o <br /> (Acceptance range for samples <br /> requiring thermal 2res 4+/-2"C ke /No* <br /> *If Circled, contact Project Manager and attach record of resolution. <br /> Sample Receipt Log <br /> Revision 21 (1 1110!00) Page , of l <br /> Reolaces Revision 2(11106=1 <br />