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SEQUOIA ANALYUCAL SAMPLE nCEIPT LOG <br /> Wag-vp <br /> CLJEW.WUBgjwwma DATE Recehvd of Lam: 1 l Drinking water for <br /> �I�IAME: <br /> TIME Reedved at Lab: t� reg"fary purposes: YESCNIP � <br /> REQ BY(tt�ui+ _ <br /> �YORI£ORBER: r � LOG II►i DATE; �� �� �Naalevrs�tcr far - <br /> - wgpiatary purposes+ YpImb <br /> CR#CLB TM APPROPRIATE IUMONSR LAB CopiTAYI= SAI4UT ' DATS REMARKS: <br /> SAMIKR# p CURNTID DFSCRIPI'iON AtATRDt SAWLED CUNRMON <br /> 1. custody sal(s) -presa A Esc - - <br /> Ii�c# <br /> -2 Cbain-of-Csst�4Absent', - <br /> 3 Tr4ffic Repods or - <br /> Packi L'ssl, 1'taosent 1 <br /> 4. Airbill: Alibill l Suo <br /> S.AbbilLf. - <br /> G. Sang le[.abets: _ t Absent _ <br /> 7. Sample 1Ds: 'st Not 1.da - <br /> o>t Ch�in�f-Lbs <br /> 8. Samplo Condition: b4 H dmat l <br /> J - <br /> • 4. 17aes infaoaeaiian on - - � _ - <br /> cuokly rgxwN trafie <br /> " rcpacls sad samp[c - <br /> labcls a ? os bion - <br /> 10, Sample=dyad tvithln = _ <br /> W14 titno: No* - <br /> 11 Praper ervall�res _ <br /> uscd• YCS No" - <br /> 12. Temp Rcc at Lab L t <br /> _ <br /> **BL <br /> Is tip 4+1-2°C? <br /> (�'iauPipuce Tanga fOr sarnpica rcqu ' l Pees.) _ <br /> **Bmptiaa(if any).Mafalsl pF i I DFF no ke? <br /> cu Emblem COC <br /> sam *If Ctirc)ed contact Mann eeand attach mord of resolution. <br /> RarL W tlMAVp <br /> Oenimwee*a4e4Rn 7 i ffWR 4AM Pam ei <br />