Laserfiche WebLink
SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> EW- -,) NAMI=' �(:' tom/ DATE REC'D AT LAB: ( For Regulatory Purposes?(PRIIvr) tl"t� i TIME REOVAT LAB: DRINKINGWATER .YESfi Q�RDER: pll b � f DATE LOGGED (N: WASTE WATER YE NOICLE THE APPROPRIATE RESPONSE LA13 DASH CONTAINER PRESERV SAMPLE DATE... REMARKS: <br /> 1 SAMPLE# # CLIENT ID• DESCRIPTION ATIVE pH <br /> MATRIX SA P _D CONDITION(ETC.) <br /> 1. Custody Seal(s) Present Abs <br /> Intact/Broken* <br /> 134. <br /> . Chain-of-Custod <br /> 7 <br /> .iTraffic Reports orPackin List: P sent bson <br /> 'AirbillfAirbi Sticker T, -cj 6/7- <br /> re /Absent <br /> 5.'Airbill#: <br /> g. 6, Sample Labels: rese /Absent <br /> 7.-Sample IDs: <br /> �fted/ ed <br /> t hain-of-Cu <br /> f <br /> B_;Sample Condition: Broken"/ <br /> Leaking?' • <br /> 91 .Does information on chain-of-custody, <br /> traffic teports and sample laVe <br /> a ree? /No* 5 <br /> 10. Sample received within <br /> hold time? &/N o* <br /> 11. Adequate sample volume <br /> received? /No* <br /> 1.2, Proper preservativos used? Yo /-No* <br /> F 13.Trip Blank/Temp Blank Recoived? <br /> ,(circle which,if es) Yes! IVO* <br /> i 4.-Read Temp: <br /> Corrected Temp: <br /> 'is corrected temp 4+/-2°C? es/)No'* <br /> (Aceeptanco range for samples requiring thermal pres.) <br /> **Exception(if any): METALS / DFF ON ICE <br /> or Problem COC <br /> ' ', r ''I.. ... .a r ..6iL �'�a a Jr G' T J'G: -•. ^•, ti'r 2i <br /> *IF CIRCLED, CONTACT PROJECI-MANAGER AND ATTACH RECORD OF RESOLUTION. <br /> S-m Hevislon 7 <br /> t Reotnces Hev 5(07/13/04) Page - of <br />