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S)�,QUOIA ANAIWIC0.SAMpf je, RECEPT LOG <br /> CLILNTNANTE. I BATE 111.+'C:'D AT LAR: -Z 2�4 . . 3 Diniking later Akr `. <br /> RIRC BY(.['RTN7) T i NIE REOD AT LAli f -1 • " regulatory purposes: YFIS N <br /> FY0I;1CO1tT1FTt: O DATE I ()GGHIDIN- v Waste}vatcr for ; <br /> regulatory purposes: Xp.,31 U <br /> CTRCL$Tl B"PROP}ll'ATE RESPONSE LAB DASFiI CUi�l'A1�`Ett PEtFrSER SAMriLL��DATF �tl{l�hlt r <br /> CLIENT ID DrSC,Ct]7llflON VATM MATRIX SAWLED CONDITION(ETC.) <br /> 1 custody 8031(s) 1'tesctKtl W r In d �V0.S F" C-,L L.. . rt o <br /> Intactl Broken# <br /> 2.Chnin of-Custnd resCtrt Absent* _b_t [ill <br /> 3 TraMeRerOrtS Or <br /> Piaclan List Prexentt <br /> 4. Airbill; AirbM/Sticker <br /> Pr�CrlEf ten � <br /> 5-Airbig H- <br /> G 5nm i lAbals Pres Absent <br /> 7 Sample IDS ,s(c of I.b(Cd <br /> _ a r <br /> on Chal-of-Custo <br /> S Sample Contliltow ntact I3mkeo#! <br /> I.eakin � - <br /> 9. Does iaformalron on <br /> custody reports,trnme <br /> reports and satnPle - <br /> labels a tee? No` <br /> 10, Sample reteived withm <br /> hold Irmo: es -No* <br /> 11, Proper lyoc waflves <br /> used YCa iso* <br /> 12 Uinp Rm at Lab- " <br /> Is temp 4 P/-2C:? es Ko** - <br /> (rleceplar o range for samplrsrequrring thermal prcs) <br /> -a+Lxception(if any) Metals f DH O)-r-Apmin Field) <br /> i <br /> or Probicm COC <br /> -hIF CIjtC LFj),(,C) fA TPROJ'EC_V NA(;)E1ZAM ATTACK OFIRMOLUTION <br /> Sample R Ipt Log <br /> RaiT*n 3(03118M3) gage <br /> RaplaWz Revtston 2 3(1 W4W) - <br /> ErrectWa W1 03 � tca 1, <br /> 4 <br />