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NEEL— I� AdML <br /> SEQUOIA ANILYTICA PLC RECEIP QG _ <br /> _�__ - 7 <br /> .+ rrr r ss .s ra !r>,rr + <br /> CLIENT NAME: (� c WORICORDER SSD �- <br /> H REC BY (PRINT). �1 DATE OF LOG-IN S 3 <br /> k; <br /> CIRCLE THE APPROPRIATE RESPONSE LAB SAMPLE DASH I CLIENT CONTAINER SAMPLE DATE REMARKS. <br /> Fl 11 # IDENTIr1CAl ION DESCRIPTION MATRIX SAMP. CONDITION ETC <br /> v 1. Custody Seal(s) Present sen {- <br /> # Intact!Broken" 3 <br /> '0/q r <br /> 2 Custody Seal Nos.: Put In Remarks Section <br /> tO 5 <br /> 3 Chaln-of-Cuslody <br /> x Records' reset !Absent" <br /> 4 Traffic Reports or <br /> < Packing List Present s�Ti <br /> 5 Airbill Alrbill 1 Sucker <br /> Present! sent <br /> ' 6 Airbiil No I <br /> } 7 Sample Tags' P esw 1 Absent' <br /> # Sample `fag Nos : sie 1 Not Listed <br /> i <br /> on Chain-of-Custody _ <br /> �. Sample Condition: <br /> ac Broken"1 Leaking' <br /> k 9 Does Information on custody <br /> reports, traffic reports and <br /> sample lags agree? � est No" <br /> } 10 Proper preservatives <br /> 4; used. No` <br /> 11 Data Rec, at Lab S' Ap <br /> 12 Temp Rec at Lab. <br /> { <br /> ' 13 Time Rec at Lab /Orb <br /> #ii, i x r♦{,{ {{ Yr{{iii it P -x{ {, <rx,{t', , n,rr{;i+,{{! i<4 4 x++-+! ♦ rh i <br /> " if Circled, contact Project manager and attach record of resolution <br /> Revision 3121/95 3 <br /> Page of <br />