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SEQUOIA ANALYTICAL SAIMPLE 11EC EIPT LOG <br /> n <br /> CJ.IFNT NAiNJF- t-C DATF Deceived,it Lab'` (Drinking iNzfer)for <br /> MC.RY WHIM) - — QVuC a TEN1E Received at Lab: regulatory purposes: y)S � <br /> NVORI{ORDERL n9 LUG IN DDI F- (Wastei*rntor)fol <br /> legulatolypurposts. YF <br /> CIRCLE THE APPROPRIATE RFSPON&K LAII SAMPLE DATE <br /> ISAMPLEN # CT.iTivTID DUCR[PTION MATRIX SAMPLED CONDITION(BTC_) <br /> 1.Custody Scai(s) Present Ab nt --4— I <br /> Intact IBr en � � � , <br /> 1 Cham-of-Costed res r IAbseot* p i <br /> 3 Traffic Repoits or <br /> Packaig List 0 1 <br /> 4 Airbill AirwII is O i <br /> Pr+cscnt{ D , — <br /> 5_AlrbillY <br /> 6. 5xln jr 1 abclsrM- T !Absent <br /> 7. Sam&1Ds i I Net Listed <br /> on <br /> Clio In-of-Custody r.fl <br /> S Simple Condiffoii trtac Broken*f <br /> DWA mformatlort C <br /> cuskodyrupods,traffic <br /> reports and sample I <br /> labels agrc& is rfa* <br /> IO Sample received vathin , <br /> lurid time No* <br /> I III PTuper Preseryativcs <br /> used 1 No* <br /> M 'limp kec,at I.ab <br /> (Acceptancerange for srainploa , <br /> ryguldnx lliermai res.:W-2° Yes f Ido* <br /> *If Chded,conflict P1 oject Manager and attach iecorti of resutution, <br /> Sampla Reaarpt Log <br /> Hevislan21(1Ilion) <br /> R110V Revrsbn 2(t Jri7M) Page <br /> IImwoo <br /> z <br />