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SEQUOIA ANAL*n 1CAL SAMPLE RECEIP-*r LOG <br /> JHAi Vf Sf aLLti-ICTG il..sl=(fi-E'J�—�..."^—'�� <br /> - + For Rcqulatory PUrPasr:-? <br /> C)_IELN NAW-z' -�«8 T&C3 DAT <br /> R G'�l A7 LAit;��L!]�o�--� DRINKING WATER .YES& 1 <br /> REC BY(PRI" �� T1M Fi>=C'0Al LAF3:,— 3 — WASTE WATER Y!~S 1 , <br /> PATE].UCtiGT;TJ lt[. .fX <br /> _ - (dor cllents regeinng prCserv4lt4t:checks aiYareipt,daciamontbere <br /> LAIC ~ aASki - CONTAIN Ft Pi;�SF1iY SAMPLL DAFT: REMARKS. <br /> t C]�tCLE THE APPROPRIAI E RESPDI�SE Ct_IT'NY]UGo"DMON f:7G. <br /> S�SMI'LEIf � QESiifTlFrfION 11�NE FPI 1rSA7CtIX SAMPLED �- } <br /> ilt��ic�— <br /> 1 custmy seal(s) Se Absent A- An-41to -11 VdA - <br /> ,ilt Brolcan" ey _ , MW-S- - <br /> 2.Chain-a-Custodyr(i,+ Ahsarlt� _ _ 3 _ •' O - �_ <br /> 3, Iraf is Repolts or - <br /> Fackrnt List - <br /> 4.Atnbdl Alr#1Ji Il+;ks �� .-FIs _ — _ _ -_ - <br /> aa? <br /> _ dse Absent <br /> 6r}4llfiil{� <br /> G Samp1j;Labels. , (in t Absant <br /> 7 Smote Tis. <akfart Not Listud -- _ --- —-- - � <br /> an ChaTtj-of-Ctrstod -- <br /> 8 SarnrTlr Condition (rP31Rj ordeal 1 _-- —^- -- <br /> �_�31iTrt9' <br /> 8. Does it.-ormition on chain-of-custody, <br /> traffic;eports and sample Inhels — <br /> t <br /> �0 S,rrnpie receivedtvrthii <br /> _ <br /> hold I_tm r 1 --- <br /> 11 Aduquate sl3inple volame <br /> 12 Proper Preservatives _ _ - -- --- -- — <br /> Llf <br /> used? Ne <br /> 13'rr lan eflip 81an1c -- <br /> .Wrciavt�b 1.x_.1- Qo�71go` ---- - ---- <br /> 14 Temp}ftc at Lai --- <br /> IS tt'+pp -t+1--TGT N a" — - -- -- -- <br /> (Acceptance r r je Wwaplas rettutrTng thormal PMI) <br /> �Gcception 4f any) MFTAIUS ! UFFON ICE <br /> or Problem GOC _ _ - <br /> _ 'II'CIRCLCDt CON FACT PROD CT MANAUER AND ATTACH AL0081U OF 11LSOLIJUGH. <br /> S?.L 11411 fs,�ga of IL <br /> C fAeArrin+5 <br /> at <br /> I� M Ma M 111111iM No W& � � M <br />