Laserfiche WebLink
SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> C,LILN I NAME DATE Rcceived at Lab. 27013 (Di1111tn1g 11atel) rot — <br /> 14C BY (PRIN I) I INIE Ret,cived at Lab. 149SO Iegulaluiy 11111 loses YES/NO <br /> 11't)IZkORDER 30 h�4 LOG IN DATE (Wastctiratci) for <br /> Iegillatoly Jill 1puses, YES/N(} <br /> CIRCLE I HE APPROPRIATE RLSPONSE LAB SAMPLE DAIE <br /> SAMPLE# # CLIENT ID IIESCRIP PON IIIA FIUX SAMPLED CONDI I ION(ETC) <br /> t ustcnl}' be sl(s) Prescnt/ <br /> sell <br /> v <br /> 2 'bo ! l-CuSodIii Bro <br /> Absent* <br /> 1lat€1c R(,polis of <br /> 11,1c.t ung 1 ist Presclit/ ser rj <br /> d Alsblll Aublll/ SLicker <br /> _ Plesent/ bse I <br /> JS Al�bill ,1 <br /> 0 5)mtlple L,Ibc.ls lcs t/Abscllt <br /> 7 Slusple IDs 1st 1 Not Llslecl <br /> 011 Ctk1111-Ot-CuSLody <br /> 8 S,nuple Condition 11111 I Broken* I -7 <br /> Lcal.lnb* f <br /> 9 Doi ,s 111tomi,mon ori D <br /> c.listocly sc,polts c1.11fic <br /> lepuils.lnit smuple <br /> l�ibuis a lcc� Yc 1 No, <br /> ltl SaE11pIC IL'(,i,lV(.CI ii lthlll <br /> I101d Inde / Nu* <br /> 11 i'loper I'icscl-irallvcs <br /> us�cl A1 No* <br /> 12 I cmp Rcr- al Lab 15!o <br /> (AL pt,11Cc ldllgc f6i samples <br /> sci ums1 g tlici iii-il pics 41/-2'C) J No* <br /> t- I <br /> *if C11 sled, colit7et P1 olect Managei and attach record of 1 esolntlon. <br /> Sample Receipt Log <br /> Revision 2 1 (11110100) <br /> Rant-- An+ne.+}`711 irnrrnm �� port>an <br />