Laserfiche WebLink
SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> 2f an.�W..pc q�oovv.cea <br /> +fat-axtpxMf <br /> CLIENTNAME C DATE Received at Lala: � � (Dnnkmg wafer) for <br /> ImC. BY(PRINT) TIME Received at Lab �jC7 regulator} purposes VES/NO <br /> NVORK011DER LOG IN DATE. �NYasteivalcr) for <br /> regulatory purposes- YESINO <br /> CIRCLE THE APPROPRIATE RESPONSE LAB SAMPLE DATE <br /> SAMPLE# # CLIENT ID DESCRIPTION MATRIX SAMPLED CONDITION(ETC) <br /> 1 Custody Seaf(s) resew Absent <br /> It Broken* 1'�� I <br /> r 2 Cliaici-of-Custody nese !Absent* J_ <br /> 3 Traffic Reports or A6 —r- <br /> Packin LIST Pr tit/ sec l: G <br /> _ 4 Airbill rebel[/Stcc er <br /> i <br /> ht/Absent <br /> 5 Aubill# cz)0 <br /> 6 Sana le Labels res cit/Absent <br /> 7 Sample IDs tst I Not Listed <br /> on Chant-of-Custody <br /> 8 Sample Condition tit I/Broken*/ <br /> I <br /> 9 Dues infonuauon otr Leaking* <br /> custody reports, triflic <br /> reports and sample <br /> labels v ieel e /No* <br /> 10 Sample teccived~villin <br /> hold time I No* <br /> II Pi oiler Preservatives <br /> Ilse I Not <br /> I <br /> r <br /> Temp Rec at Labceptaitce range for samples <br /> mini r 1hermat ics 4+/-2°C) e No* <br /> *If Cu cled, contact Project Manager and attach recoi d of resolution <br /> Sample Receipt log <br /> Revision 2 1 (11110100) <br />