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i • • <br /> 42 <br /> SEQUOIA ANALYTICAL SAMPLE R , CLIPT LOG <br /> CLIEN I NAME. a DATE Received at Lail; 3—/'0.-0 _ (llllulrillg eater) for <br /> IUI'EC BY (PRIN 1) TIAlE Received at Lab: t regulatory purposes. YES1NO <br /> tV0HKORDER LOG IN DATE- (Wasteiiater) for <br /> regulatory purposes- YF;S/N0 <br /> CHICLE rilE APPROPRIATE RESPONSE LAD SAMPLE HATE <br /> SAMPLE # # CUENT ID IIESCIUPTION MATRIX SAMPLED CONDI LION (El C) <br /> CIIsI{xly'SCA(s) Present 1sell /C - �' Z'y,¢ � R� �� ( ,� <br /> intact!Broken* JL <br /> Ch"1111 ot-Custody reseil Absent* <br /> T[arfic Repoi#S or <br /> Paul,mg List Present/ 3s <br /> AlrbiR Airbill/Sticker <br /> Present/A set <br /> AIlbill 11 _ <br /> Saui 1e Labels nt!Absent <br /> Sample IDsCris d I Not Listed <br /> on.Chain-of-Custody <br /> Sample CoIldktlon [ilii /Broken*! � <br /> La 1S1I3 <br /> Does in umiation on <br /> Lt[stody Ict3orts, traffic <br /> [r,pol is slid salliple f <br /> IElllcls agtee'j Ye 1 No* <br /> Sampic received within <br /> hold 1111le T �Y ! No* _ <br /> Pioper Pieservatives <br /> used , 1 No* <br /> CC,L1AMILC l.ITIge fpr saI11pleS — -- <br /> I <br /> ��li ttl 13�e�nt.il�es <<t 12T) s)NO <br /> If Cil Cled, eoltinct Project Ahmagei ,md attaelx iecot(I of resolritioli <br /> smi,ple Rpc.pgll Loa <br />