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r • i i <br /> -SEQUOIA ANALYTICAL SAMPLE RECEIPTLQC <br /> RM <br /> G'LI3:N'r NAM: DATE Recurved of Lab:4� 9A 0 (Drinking water)for <br /> I&C I1'Y criumq I - TMIX Received at IAlb: 1t[ regnlntory purposes: Yp NQ <br /> WQRKORDBR LOG Iii DXI'K- (14fasleti,,aler)1'or <br /> regulatory purposes y P199 <br /> SAMPL,L <br /> CLRC:Y,ld THE APPROPRrATF.RRSPONSR LAB <br /> DATE ' <br /> SAMI'LS# CLlsrnr ID DESCRIMON IMATRIXIBAMPJXD CONAMON(ETC) <br /> I Gullodr SailO) PmentAbseu <br /> intact lllro Lff <br /> 2.Chain•of(kis PresenRt Absent* <br /> 3.1teific Repro s or <br /> J'Ackmg,Lmt Promd <br /> 4.AubilL AirbiI I l 8-to ICr <br /> Pr�scrie lf r <br /> f <br /> 4 <br /> S. AW11P <br /> P <br /> b. k L abala r !Alaaail <br /> 7. 9nmpta IDs: 1 Not Msted l <br /> on Cham-0f-C Mtod <br /> 8 Sainplc Goitthlion. /�a�J Bracken*l <br /> 9. Mes mfarmad=on <br /> custody Tris,traffic <br /> reports and Sam& <br /> Labels ice? os l o* <br /> 14. Sample received wlthai <br /> hold tM& <br /> It.Prober 1'nmrvetives <br /> used No- <br /> 12. Temp Rm at Lab <br /> (Acurtame rime for samples <br /> r 1lkeriital res h si-210 Yes l No* <br /> *if Circled contact Project Alanttgcr and a#tach record of reaelalion, <br /> 1 <br /> Setwb RecelFl Log <br /> ReaiaianZt 1111101M !sage of <br /> Repbasa Rerlsba 2(1 iIMM <br /> t ll-GOva I Vww <br />