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SEQUOIA ANAI,V'ric'-A 1,SAMPLE R1 C10-1,1111- I,00T <br /> CL,TI':NT NAME: 7}A'i K Received at>trab: � J r (Drinking irn(cT)Ior <br /> HEC•BY(PItINT) TIA•1L' Received at L.arb: regulatory purposes; <br /> WOR KORDER: _ — ) �, :� LOG IN DATE: (Wa.slawaler) for <br /> regulatory purposes: YF <br /> CIIIC1,11 THE ANPROVIUKrE RESPONSE I.AII SAAiPLR DATE <br /> SAI+Li'LP. # Ct 7>�T�IT in 1lkSC ltII''Fit?A1 nzATRIX SAMPUD rraNnlTlol (>J7'c.) <br /> 1. stati}scal(s) Presc�►t, Ab y��'Z t - •F ` <br /> j IIIIact I.31ri ' <br /> 1 Chain-*f-fAksrod rese ti /Absent* O <br /> L 3. `I'ralTlc Reports or <br /> Packing I.igt: Pncsont}A en <br /> d. Airbill: Airbill 1 Sticker <br /> Present <br /> S. Airbill#: <br /> Co- Sample-Labols: jl/Absent i <br /> 7. Sample[Ds: 1 Not Listed <br /> q11 tris nl n•of Cu9tod t <br /> S. SamplaCoudition; 5ia' /Brckeat/s <br /> 9. hoes information on <br /> custody raNrts,traffic _ <br /> r4'p'rirt%JIlLl 9Y1tt1�7TC <br /> labels a e7 Nq* , <br /> W. Samplo received tvithin <br /> hold Ihnr / Q* <br /> � f <br /> il 1. Proper Preservatives <br /> used: ft/No- <br /> 12, <br /> /No*12. 'Vemp Ree.at Lab. r~ <br /> j (Acceptance range for sEusrples <br /> re iris fltenual res.:R1�l-210 <br /> *If Circled,eonfacf Project Manager and aftach record of resolution. <br /> SampTe Remfpt tag <br /> Ravlsion 7..t(1 V10100) <br /> R"Revisia n 2t i 1l�QfifD4} � Page _� Y <br /> �' <br />