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s s <br /> SEQUOIA ANALYTICAL SAMPLE IU'--CEIPT I.CG <br /> (,'1.1RNT NAh#rt. fieN <br /> DATH Received st Lab* ( � I (Drinking~rater)for <br /> RSC.BY(PR1N'i') 'Ri IE Received at I.ah. L 7t <br /> rcgnintory purposes• L+. <br /> WORKORDLrR LOGIN DATE i (Wastewater]for <br /> reptatory purposes: Y NO <br /> ' PIt AIT ltli<^sPONSE LAB &A1�1p <br /> hpYltlO LH Divrit k <br /> CIitGT,Li <br /> 3A,itilpl�� � CL1Eitil'F 1D I]ESCRIPTION MATRIX SA1V1P1,'91) t„[?iVl}IT'tUl't(STC. <br /> 1.Custody Sent(s) Preset bs <br /> Tdfact I}ir <br /> 2.Chats-D Gest /}absent* <br /> L 3 Traffic lteparta or <br /> P&ckwjgT&L Present <br /> 4 AMIL Airblllf <br /> Pmscnt X1 <br /> 5 Ambdiif- <br /> 6. ie Labels P1 A63en1 <br /> 7. "lows Not J.dcd <br /> Farimim-of-Custody <br /> S Sample C"tiorE f Broleee I <br /> 9 Does laformatt ,OR ' <br /> custody reports,tmfl"sa <br /> rep"and umple <br /> labels a ec7 IQo* , <br /> 10.Simple received�rilbru <br /> hold time ido� <br /> 11.proper pmervativ08 <br /> rrsc�L - Na* - <br /> 12.Temp Rae.at Lab - <br /> (AccepwMe Tango for samples <br /> T=rlrmv.thermal es-01-TC) YrslNo" <br /> *IfChvied,contract I'e'ojcct Manager and Wadi record of reS01410911. <br /> San*Receipt Loo <br /> RwWlon 21(11110M Page_of, <br /> Repraces Revisloe 2 V tff?B N <br /> F.ffecOm i1l1200 <br />