Laserfiche WebLink
- SEQUOIA ANALYTICAL SAMPLE RE,CEIPT LOG <br /> CLWNT NAMF,: ' <br /> DATE Rcecived st lAb.- ., llrin3tiag water for <br /> REQ.BY(PI{ll+iT) 3 _ TMIE Received al Lab: regulatory purposes: Y <br /> + WORKORDYM: <br /> LOGIN DATE: I Wastewater for <br /> regulatory purl om: Y> <br /> G'JHGLE THl:l i'FRUt' AT&RFSPOIYSE LA►B CONTAINER SAWLE DAT& t &NIARI : <br /> SAl4iPLl;# #� CLIENT TD DESCRIPTION MATRIX SAMPLED COND1Ti01Q TC <br /> # 1- CustodysW(s) Pregmt 4bseAt <br /> Intact Eire _ <br /> . Ctaain-of-C�Istc�d i t f Atmiit* <br /> 3 Trallic Reports or - - <br /> Packfn LislPiCSCid f Il t <br /> r7JD l Anbillf St Wka <br /> Yrescn;f� nt -l#e Labels,e,Das, {Nat Uacd <br /> e C)IWit2on - Infa t!13rokait"Lcakm *fgrniaiion on mpogs,trlTic and sample <br /> labels agreO No* <br /> 1 p Sample rooctval vallliit <br /> hold time Yes No*ILP <br /> rrr�e�valtvcs sed� es Ato" <br /> 12 Tenip Rea ac Lab- <br /> Js tcynp 4 a l-2°I; l Nb*" <br /> (Amq tatioe range for samples requiring th 1 prea) _ { <br /> *#]3aeccPtlan(1 t'a ny}.McWs{DFF oo ico7 f DFF no ice? <br /> or Problem Coe <br /> SamwW 2a ZUV(l Z=02)R�is[aq 2� *If Circled Contact Prv'ert Mena er and clutch Mord of remolut+on. <br /> fteomes evrsbrl7l(041##IG2) - <br /> Etf Wim IW4M _ - Page_ Of <br />