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SEO UOIA AN ALYPCEIL SAhITLri RE;c:Ecr['1'Lo G <br /> CLIENT NA R: I .o � _ 1)A'I'L Iteceir��i at I;,�t?' �� ��- Drfnlung)tater for <br /> REt,`,73Y(PRL fl') i MILT Rccelved at Lab regid4tory purposes y1S lI <br /> WORKOIJ)HR: LOG1NDATE: 3 jlv� `3 WAste�rnterfar <br /> — � - � regulRtorypurpases, YL+S N[l <br /> CIRCLU TIM A IIIROPRIATY RUrONSE LAU CoN rAMR SANTLt )DATE RL ARKS <br /> RAhTPL9 if 11 CLIZ�1x 1D DL,SCREVITON brhlT{II SAhJPLFD C()m1'1'Im-ETC, <br /> 1 Custody Seats) Present ent <br /> t Int rd I lino en k — <br /> ` ;• 2 Chah-rif-Cutod res Abseut} <br /> 3 Tdaffic� tepwls or _ <br /> t i radon T.W- - Present if-Lam . <br /> 4.AirbIH - Airbill/Sticker <br /> �xt Present b e <br /> i' 6, Sam la cabals r f Absent <br /> ?'�; 7 Sampf�Iris Il�od T.istcd �� <br /> an 't,aiu -f-Custody <br /> 8 Sample CanEliliais- to Iirokert'�! I <br /> 4 DDD lnfeml uon ob N VA - <br /> I - <br /> custody reports,trafPi c _ <br /> reports and sample <br /> Labels a ee? 4e-s)No* <br /> ` 1b, Saruptcreccivcd wither I <br /> K <br /> J-�,, holdtime Aro# <br /> ��, j 1 proper fres CrYat r<vzs � . <br /> ti <br /> used Ye ONO <br /> 4 <br /> 12.Temp Roo at Tab-. - I —` <br /> rs tomp 4*2°C? cs No" - <br /> t <br /> (Accaptance rangy for samples requiring thcrnMat prey)- - <br /> i" ► •+L7Jcccp4iass(lfanry} Mct�7slDF�+Qn ici?I�7FF��n ice? _ _ _ <br /> orWoblem COC <br /> *If Circled caxttttet 'ro, ec#NZi<na er and# attdtch MOM� Li <br /> Sample Receipt tog <br /> Revision 2 s('12123192) <br /> Replaces RiOslan 2 1(04131102) - Pa{to <br />