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i <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOC � <br /> ` CLIFNT NAM(--- OA I h REVD AT LAB ( o DRINKING WATER for <br /> REC.BY(PRINT) T% -TIME RECD AT LAB. j;g regulatory purposes. YES <br /> WORKORDER; '1 9�k(� 'r' j DATK LOGGED IN 1�13�• c, - WASTE WATER for <br /> regulatory purposes- YES 1 <br /> CIRCLE THE APPROPRIATE RESPON13E LAU F DASH _ 1{ CONTAINER- PRESERV SAMPLE QATF. REMARKS ' <br /> i µ CUENT EQ 1 - <br /> SAMPLF ll # - t7ESCRIPTIONATIVE MATRIX SAMPLED CONDITION(ET� <br /> f t �d,fr� <br /> - 1 Custody Seal(s) Ptescnk _�, { �I -�� _.. _ r <br /> Intactl�nroken* _ i IA) r3 ~_ i� - <br /> 2 Cfrd1n-af-CUslod Absent' t I �I <br /> 3 TrafficRepoitsor - <br /> Pactting List Pfesent! _ <br /> ' 4 Itirbill- - hebill I Sticker - <br /> _ <br /> 5 Airbzll f1: P"1tJ <br /> 6- S 1 aaar Labels_ t lAbsenl^ �~ •-r--� �� r' } - ; <br /> i <br /> 7 Sample lOs ClIaWl.Not Lsted <br /> on Cham-of-Cusk <br /> 8 Sample Candlban f I3raECert`1 _ . i •rIl .- _ 1 <br /> I � E <br /> teak+S. Does Information on E <br /> chain-of-cusfady,traffic - <br /> roparts and sampla <br /> labels agree? <br /> 10 Sample received within <br /> hold time: <br /> r <br /> - 11_ Adequate sample volume _ <br /> 12 Proper Prgservatk_Ve5 <br /> Used !Ne <br /> 13- Temp Rec at Lab <br /> is tamp 4 11-2°Gl _ s '�!a" �f [ - j _ - -As E <br /> (Acmptancera slorsamp�este9u�nnglhermal�r�s) — �__ f it + _ <br /> "ExcegGmn(If iny) ME€'ALS I DFF ON ICE <br /> orProblam GOC -- <br /> 9 <br /> SRLrv4-ds _ F 'flu CIRCLED, CONTACT PROJECT MANAGER AND ATTACH]RECORD OF REIDLVTJON. <br /> Rom stan4('}9110143) - ; -_,.-. ..-r.�.r.._ ,�_ — _ <br /> 'epracas RewUTani 3(a3 W3j -r - Page ,Of <br /> "Me iilifllU3 r y E ' <br /> _ <br />