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I I <br /> SEQUOIA ANAL'S C_4T,SAMPLE +`WT LOG <br /> CLIEN r NAME: - DA7L Received at lab: L r)hkmg'%,ater far - - <br /> REC.]BY(PAM) 1 TDO heaved at Lab: ' re-plawy Purposel YES f 1 <br /> WORKORDER: LOG W DA.xIC: A�� 2003 Wastewater for <br /> ALT qlulatory purposm: Y)ES I f $ <br /> CIRCLE THE APPROPPIA Y,1't R0'NSE LAl3 , COIYx- VW1 DATE REMARES: � <br /> I SiLwLE# CLIENT ID XlESCMP' GN MATRIX SA LAD <br /> COh'DITiOD; TC <br /> I, C<istody SEaI{�} Prr=t 1lase t 'I IIyn ° <br /> I��tlErokca* f?� � li � <br /> 2, Chs,n- f Gustod IAbscaL* ptl p! it t� <br /> 3 T cifG Rzpmts or <br /> Pacbng List Pt+e`wt!Eks 1 i� <br /> 4 A.-ft]], AirbilI/Stacker I� <br /> 5 AabaIl# G$ I lJ TA <br /> 6 Sain le Labels. Lt 1 Absent C II ty/ <br /> 7. Sample IDs i 1 Not Listed <br /> on Chain-of-Custody } <br /> } 8 Sample Condition 1Il;ok`en*! �• �� 1h� <br /> 9. 'Docs)zfomaaon on <br /> 1 <br /> GRSti0d3+PC1}QI`wS,tri1�li G ,t <br /> I rcportx and sample j <br /> 10. Sample Tecmved w:d1k ; <br /> hold tame_ Y !No* I� ; <br /> 11, Proper prcScrvahvey II i <br /> used <br /> x 12 Temp Rec at Lab a <br /> c Is tamp 4—1-2'C? Y !No** I <br /> '(Acceptame range for samples rcquumg thermal pre,%) �� y <br /> '"Exception(if my) Metals J D''T an ice?I DFF no iGe7 ! <br /> or Problem COCMUM <br /> *If Circled contact Pniect Mara ea and attach record of resolut o'YL <br /> Sampleae <br /> Reipt Log <br /> evision 2 3(12=02) ; �# <br /> aces RoVIsion 2 1 (W1 1102) ' Page crP <br /> ve 12r24102 <br />