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SEQUOIA ANALYTICAL SAMPLE RECKIPT LOG <br /> CI.�ENT NAMX. DATE ltecei at La4: l u--� DriaWng walcrfor <br /> NEC.BY(PRINT) TJML Received at Lab: 1`T regulatory po�rp YES O <br /> WORKORDER; D j LOGINDATE. =a) Wastewaterfor <br /> CMCLE THE APPROPRIATE RESPONS)g LAB CONTAINER ' SAMA DATE i!t urARics: <br /> SAMPLE# CLIRNT ID A {s N MATRIX BAMPUBD CQND I0N fjxgTwcl <br /> 1. Cult*aeal(s) Pry Abmd <br /> iu _ <br /> 2. Chain-of-Custody Alwot* . <br /> 3.Ti'a1rioRwrtsor ' <br /> Packin Lisv Preset! <br /> 4,Airbill AW11I <br /> Ptrsont <br /> S. Aicbilit <br /> - 5 <br /> 6. San Is Labdm 1 Absent <br /> 7. Semple IDs of Usled <br /> - on Cf�2un-of- 6� <br /> H. Sa VIc Condition- f roken'�1 <br /> 9. Does infonnation on - <br /> mlodY rtk.tmflic - - <br /> - ` uporla oad sans lc <br /> Ws a ? e - <br /> io. Satr�lc�lved wishln _ <br /> bold lime. NO <br /> 11. �mgerpresen�tivea _ � it <br /> used. <br /> 12 Temp Roo at Lab- <br /> Is temp 4 W-2°C7 Yes I <br /> Aoocprvnce n mgo rot samples <br /> •#M=pilon(ifaayt.A(cWs/D on ?/DFF iao i ? _ <br /> or Prdrlem COCSxm* - <br /> R *jr arrled contact Pro ect N[on;t eratictattach rteond of resolution. <br /> H � f <br /> lie 21(MlIM4 - Pow <br /> EHeo1s <br />