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0 0 PLL RECEIPT LOQ 0 ' <br /> F1,QUOIA ANALYTICAL ICAL STI _ <br /> K �� .5�� tIlrt�[�ls.i��g mater) for ULN 1 NAME � � I DATE' Receitied at Lab <br /> REL BY (PRfiV 1) TIME Received at Lab <br /> U'a regulatory liiii Poses <br /> (Wastewater)for <br /> M ORKORDElt. / LOG IN DATE: <br /> regulatory purtiiisc�. '�-ESINU <br /> ----------------- <br /> CIRCLE ME APPROPRIA l'L+'+' R)(SPONSI� LAI3 Uast1 <br /> �IA NER SAl1'IPLE DAIE <br /> SA11II'LEII GIIENIi ID��DEIIUN p;Fl AtARIX SAi�IPLEU CUNll1liVN (E`l�',) <br /> t Custody Seal(sl esei Absent <br /> InLai. Bro[tm* <br /> 2 Uiam ot-Custud 'resent Absent* ------- <br /> 3 Aiti)lll IT I Sticker <br /> I Absent <br /> 1 Airbill 4 3f, 1 V S--X K-/ — <br /> S Sala tic Labels Pzesen Absent <br /> G Sampi(l JUS is 1 Not Listed <br /> ui 'lain-of-Crustod� <br /> 7 Samidu C011dillon i /Broken*! <br /> Leakin <br /> 3 1)oi:s 111rol iimhun on custody repoiLS, <br /> tral lie rellells and sample <br /> labtls ci isej Noy" <br /> 9 S.111,plc. rcwW Ld within ��^hold time <br /> tiiiie <br /> 1ta Plollei Pi C[ValltLs <br /> used �No" w - <br /> 1 l lemur eiatuic Blank Rccxned7 Yes N - <br /> 12 l emp Rec at Lab -'" depees -� <br /> (AUUept,1jILc range rot samples _ <br /> to uizui f Ui�ilil ll ries <br /> 40-2'C) Yes No* <br /> 13 S.ml+p s CQ1kcLCCI iilolq <br /> than 1 daS Yes Na <br /> I-If CJreled, cuut�jet Pzojeet iltatiager and attach iecol d of Iesoltxtiuii. <br /> Salriplp ria[,etp1 Lug Poop __ of - <br /> i iaw-lon 2 2111 01041 <br />