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SEP QUOTA ANALWA,SAMPLE RECL+n"I'LOG � • <br /> µ .4 tY • h A � � <br /> CLI-ENT NAM 1t _ Its P//` ,Jw � DATE IZcccised at Lalk. A110 <br /> � <br /> Drinkin itiAer for <br /> tBIL�Rewncd at Lab; � regidntory purpOW, <br /> WORKORDEN, M t, Cr-o v LOG IN I3A'1'H. � � �ISJ°� '4Lrastenatcr for ' <br /> regulatory purposes. Yp"5l '0 <br /> CIRCLE TILE APPROI'IiXF� JT,RF-9PONSE 11A - CU1VTt�It'�Ir.X� SANfPLP. DATE RIMNURKS; <br /> SA 3J'X.P.II X•) 'l�)1) I)VSCRIpTION Mk XY T.X SAMPLED CON!}x'CJ(7N . ' <br /> 1 01stotly Scal(s) Present1—seuP ;Zq*0 <br /> intscll}3roke�r* i 1 <br /> • r <br /> 2.Cham_of-Gds#ad r s IAbswit° TM <br /> 3.Thfl`ic Reports or _ <br /> Yackia List: Present! _Citi <br /> 4 Arrbill- Airbiil/Sticker ~ <br /> Preseutt � ., <br /> 5 hirhilll� <br /> 15.Sans Ie Labels a {Abscat <br /> 7.Sample IDS .ist Not Listed �— 6 <br /> oar Chamof-of <br /> 8 Sample Cartditiom isc lArnkw I _ <br /> 4 Does mfonnation nil <br /> crostody reports,traffic <br /> repnris and sample <br /> Iabels Wee? Y lwlo* <br /> 10 Sample received within <br /> hold Irmo a lNo <br /> 11 Prager Preservatives _ <br /> riscd Sr Noy - <br /> 12 Tcnnp Ree.- <br /> at Lab. - <br /> -4 is letup 4 11-2°C7 Yrs/bio#� <br /> (Acccpffuxe mige for samples rY,quidng thermal pray)� <br /> "'Exception(if eay):Metals 1 J)PF on ico7/DIP no ice? ` <br /> ar Prowem COC <br /> xIf 0.r le! coni tet Project Manager and atiuch record of resalullon. <br /> Samplo Receipt Log <br /> Revlsan 2 3(12123102) Page_ of 4 _ <br /> Replace$Rovimon 21(041111p2) <br /> aG1ve 1=4102 _ <br />