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SEQUOIA ANALYTICAL SAMPLE RECENT LOG <br /> C>;IENT NAME: DATE Rmit el at Lab: Drinking water for <br /> REC.BY(rRII+II) IIN119 Rcceircd at Y.ab: .regulatar}pxrpom: YF.S 1ri0 <br /> WORKORDER: t LO.G IN DATIZ: b Waatt water far <br /> regulatory purpom: Y 1 NO <br /> CIRCLk THE APPROPRIATE 1tMPOWS-F.+ IJWCONTAMER SAr PLS DATR <br /> SAMPLY.a 1l CLIENT D] DE9CItI1 TTN MATRIX SAKPLED CONDITIOiR fnC.1 <br /> 1. Custody Seats) Present Absentw <br /> Intact f 13re <br /> 2. Owin-of-Ovo tl Absein* <br /> 3. Tr Me Reports or <br /> I <br /> Pa ddu List: I UW&t! been <br /> 4. Aitbill: Aitbill 1 Stec cr <br /> • � Pc�cnE A - , <br /> 5. Airbill A'. <br /> G. Sample Labels. _ PrqMg f Absent ' <br /> 7 BWP16 Lia: /Nat MW <br /> ort I�_aii-af-aAoai JJ <br />� S. Sampio Ca�lit[t►ri: • l3rodcei*1 1 <br /> 9, Does information an - <br /> w Y mports,trali`rc - <br /> icporls axil stanplo <br /> labels t3;7 a No* - # <br /> 10. Santpla=WW within _ <br /> holdtemc: cs Noy - <br /> used: H� _ <br /> 12. Temp ft c.sit Lab: <br /> Is temp d+!-2 C? yesill <br /> No* <br /> {Atx ca m,P forsaetplcs r+ phing ffidmtl pk-} <br /> •rE=Ption(if auy):Metals 1 bPF an ice?/DFF no iae7 , <br /> _ I <br /> or Ambleat CAC <br /> - L? .9 <br /> &lm*RecW Log Rjf Circled contact Prn'ect MAnA er and attach record ofresoliallon. . <br /> PAWSIM 2.3(i71L") <br /> _ Rep� - Ton 2.1W W) � - - p� of�� <br /> EffK24W <br />