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r r � � � r r �■ � r ■■ r r� r � dr <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> LLIEN 1 N4,NIE - DATE Received at Lab (Drinlung water)for <br /> RITC III kPRINI) TIME Received at Lab: regulatory purposes: I Y <br /> 1111ItKVliDCR• LOG IN DATE: 3-f-/-or (Wastewater)for <br /> regulatory purposes- I YR§INa• <br /> CIRCLE THE APPROPRIATE RESPONSE LAB Dash CONTAINER SAMPLE DATE <br /> SANIPLE# # CLIENT ID DESCRIIP ON pR MATRIX SAMPLED CONDITION(ETC.) <br /> d�:il6Y B r - S I <br /> I (.ustoJ3 Seat(-,) Pre/se bsen S• <br /> Ildact/Broken* <br /> 2 L haw ul-CustW Absent* <br /> 3 Aubtll t I/Sucker , <br /> Present/A ! - i <br /> 4 Alrbtll fr Allb• 'Z <br /> S Sam ld.Labels a Absent <br /> 6,Sample 1D. I Not LtsWd I <br /> on Chatn-of-Custnd I <br /> 7 Samlfle Cuudttion jj�FN/Broken*/ <br /> l,ealva <br /> I <br /> 8 nuns urluttuatwu on custody reports, i <br /> li,rlht.ttpurt, and sample <br /> labels a i cL t ' /No* <br /> I <br /> 9 Sutnplr.1,�et1 Ld W11111n <br /> Ituld 11ax. 0 <br /> 10 Prupxi Ptucrv.LLMS <br /> used! /No* <br /> I I lun astute Blank RK—ervcd" Yes <br /> 12 temp RLL at Lab <br /> It L&6piauL-e range lot s.unples ' <br /> to uttttt� 4+/ 2`C) No* <br /> 13 S trnl)lw cullcd.tkd wmc <br /> I <br /> Chau 4 dla h s u: YCs <br /> i <br /> -If Cit cled,contact Pa oJect Ma!nn&er and attach record of resolution. <br /> Sample Receipt Loy ---- <br /> NW1510rt 1 C(013=4) I <br /> Roplal,tisrlavrsial121 01110100) Page of <br /> FIGURE 6b <br /> I <br /> II <br /> i <br />