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i • • <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG . <br /> ERRDATE Received at Lab• (Drug water)for <br /> ME _ re nlatory purposes: YI';S1N0INT'} TI111E Received at Lab: 9 � g� I (Wastewater)for <br /> R. {7 LOG llv DATE: 1 - 1regulatory purposes: YESINOE APPROPRIATE RESPONSE LAB Dash CONTAINER SAMPL424 <br /> SAMPLE# # CLIENT ID DESCRIPTION pH MATRICONDITION(ETC.) <br /> I Custody Seal(s) re nt/ 41 <br /> to t Broken* or?3- e <br /> c 2 Cham-of-Custod 1 t* { <br /> 3 Aubill AirbilL 61.42r <br /> Prese 1 QLt <br /> 1 4 Atrbill# <br /> t <br /> 5 Sample Labels ere-l Absent <br /> { 6 Sample lbs e 1 Not Listed <br /> on Chain-of-Custod <br /> l 7 Sample Condition Q.1 t 1 Broken*/ G <br /> Leakin <br /> x 8 Does information on custody reports, <br /> { traffic reports,and sample t <br /> labels agiee7 1 Na <br /> 9 Sample received wittun <br /> hold time /No* <br /> 10 Proper Preservatives <br /> f <br /> used Q I No* <br /> 11 Testi erature Blank Received e /No* <br /> t 12 Temp ReL at Lab s &v c 1 <br /> (Acceptance range for samples } <br /> requiring tlternia] Vies 4+1-2°C) Y 1 No* <br /> 11 Samples collected more <br /> than 4 days ago" Yes*1 0 <br /> ' I <br /> *If Circled,contact Project Manager and attach recoi<d of resolution. <br /> sample Receipt Log <br /> Revision 2 2(8130144) Page of <br /> Replaces Revision 2 1 (11/10/00) FIGURE tib <br /> r l[Artive 911104 <br />