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SEQUOIA ANALYTICAL SAMPLE RE,CF.111T LOG <br /> CLIIENT 1TAi47E:W � . � F <br /> )HATE Received at LRb: Drinichi %Vater) for <br /> 1tLC'.BY <br /> {PI;I111 T} 'V �l TIAL Reetived at T ab. regulatory purposes. V EV, <br /> W(3ktkORD1ER: ? p LOG,IN DATE,: ovastawater)for <br /> regulatory purposes: YE <br /> C:IRCLS THE APP110PRIATE RESPONSE LAIC SAMPLE UAT1C <br /> SAMPlEfi #f CT,rPNTTT) DESC:RUITION ATATRTX SAMPLED CONDITIONWoTC.) <br /> 1. Custady Scal(s) Present 1 r <br /> Intact f Iiroketi* <br /> 2. Chain;af Custodyrose <br /> 3. T rafRc Reports or <br /> 11ackio List: Present) senR` f <br /> 4. 1lirbill: Aabillf <br /> Yresg�it A m <br /> i S.Airbill fl.- <br /> 6. <br /> #:6. Sample.Libels. ge I Absent <br /> 7. S-nraple TI)s: (W*1 Not Listed <br /> on 'Bain-of-GusLod _ <br /> S. Semple Condition: Flmkcn*f <br /> 9. Docs information on <br /> CU310d'reports,traffic <br /> reports and sample <br /> labels ae7 es No* - <br /> 10. Sample received within <br /> i hold Limo: - e f No* <br /> 11. Proper Preservatives <br /> i <br /> used: f No} ' <br /> i <br /> 12.Temp Reo.at Lab: �. <br /> ' {Acceptance range for samples <br /> i Tcuirin Lhennal res_:4+/-20t' YCSINO* <br /> *Tf Grefed,contftt Project Mmaagcr and attach ;•ecord of reyolufinn, <br /> Sample Receipt L_og <br /> fan 2.1(1 ill 0100) Pages RevWron 2(11IOWM) <br /> 11112100 � . <br />