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r., <br /> i • • <br /> SEQU41A ANALYTICAL SAM[ILE RE;CEITT LOG <br /> VIALN I' NAAR: � _— DATE Received at Lala: � �,� (Ilsir►I[iuf;crater) for <br /> Etl?C:. BY (VIUNT) 11HE Received at Win _ �/.�� reguldury purposes: <br /> 11'[)IIKOIlI ER. LOG IN DA'I'C: (W,isletirall'r) for <br /> regulatory 11111-puss: S'CSIN�) <br /> -CIRCLE? TH I;.A.I'C'ROPHI/CrE RESPONSE LAB �SAMPLE DATE ---�- �� <br /> SAM Pix, 0 # CLIENT IV DESCRIPTION MATRIX SA 7I'I.,1:'l) CQNI)1 num (1;'nn) <br /> 1. Cnsludy Se"11(s) 'rose t I Absent <br /> luta /Broken* — -- 1--r-- <br /> 2. Chain-of-Custody 'reset[ 1 Absenf* _ <br /> :i. '1'r:rllic Etcplarfs E)r <br /> _ PnRin g List: Plescul/_ tlscnt <br /> -1. Aitlsill: Airlaiil/Sticlcew <br /> _ Picscul <br /> 5 ,�I i a tai 11.!E: — <br /> +�. &1111111C J.,aUcls: _— 'resell Al)scllt ----' - <br /> 7, sallipic IDS: .I tecl Not Lislccl <br /> oil Chair[-uf-Custoll}' <br /> 8 Sample Condition: (IuOqy Bwkcu* <br /> 9, Oucs in( 111wIioll oil <br /> us[t)ci}' rl:pods, tral•fit: <br /> raports aiul sungdc <br /> No* <br /> W. 'O;uul)Ic recd~Ud Willlhl <br /> It. Ptuperi'Icsclv;rlives <br /> 11 Tulip Itec"tt Lib: <br /> tV <br /> [l1Cl,:Ca3Ii1111a:1'illrl,L' for Silllll)1�:5 _.-.,.. ___.... <br /> rca uirirrt� Ihernrll )res,: 11-?°C) Ycs!No, <br /> "If Circled, conInct Projed Rlanager and attud) i•ecc)rrl Of resolution. <br /> Sarrsl:u Receipt l,og <br /> Revision 2.1 11 1110100) <br />