Laserfiche WebLink
SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> C <br /> LIENTNAME - � DATE Received at La b: ^ (Drinking water)for <br /> It C. BY (PRIN I) TIME Received at Lab. �� regulatory purlioses. YES/NO <br /> j XVOtUI ORDER _ LOG IN DATE. '✓ (Wastewater}for <br /> regulatory purposes: YESINO <br /> CIRCLE CITE API'R(?PRIAI'E RESPONSE LAR SAMPLE DATE <br /> SAMPLE# # CLIENT ID DESCRIPTION MATRIX SAMPLED CONDI'I ION(ETC) <br /> VV <br /> 1 Custody Seals) Prese>it! bseat <br /> Intact/Broken* <br /> 2 Cllatn-of-Custod e`se I Absent* <br /> 3 l r�ic.Reports or <br /> Pa(rhlu g Last Present Iw bsea i J <br /> -1 Aiiblll <br /> _ r° 'it/Absent <br /> 3 Aitbill4 L <br /> Saau)k Labels res /Absent <br /> 7 Sample, IDs ist /Not Listed <br /> t r <br /> on Chaan-of-CustodyLTi C V <br /> 8 Samplt.Condition itt f/Broken* <br /> Leaking* <br /> 9M Does aaafoimatton on <br /> ` I <br /> ulstod) reports, traffic <br /> reports and sample <br /> labels a lee/ NeS/ No* ~� <br /> 10 Salllph, icceiv d rtathaat <br /> hold taulc. As/No* �`4 <br /> ll Pi Opel P3esmatives <br /> tlscd <br /> /No* ! <br /> 12 1 eutp Rec at Lab v <br /> (e�cvqtaacc iallgt..for samples <br /> I U11till Mg tllClltial pies 4+-/-2"C) Y2tNo* <br /> *Il Cil sled, coittact Project M.auager'and ttaeh record of resolution. <br /> Sample Receipt Log <br /> Revision 2 1 (11/10100) Pane r3f <br />