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r E <br /> t <br /> f <br /> Y <br /> SEQUOTA ANALYTICAL SAMPLE RECEIPT LOG <br /> CI,IR3VT NAME: DATE Received at Tab: ' ll) I Dfiukkg crater for <br /> RCC.BY(PRINT) ` A19 Received at Lab: regulatory pun ae:: YES O <br /> WORKORDER: LOG IN DATE: `� � Wastewater for <br /> regulatory purposes; YE <br /> CIRCLE THE AFFROP IATE RESPONSE LAR CONTAINER SAMPLE DATE REM M75. ' <br /> SAMPLE# # ULTENT ID DESCRIPTION MATRIX SAMFUD CQNDITION STC. <br /> 1 Custody SW(s) Present �Absen <br /> 2 Cbstn-o-Custod /,Absent*' <br /> f <br /> 3 TraMe Report or %---- <br /> PyckiMUsf, Preseni! sent <br /> 4_ AirbiIt: Asrbill/Sticker ' <br /> Present! nl - - <br /> 5. Airbift#, <br /> 6. Sant le f Abels it/Absent t <br /> _7, Sample IDs. Liss /Not 1 siod <br /> on C,lmn-of-Qistod <br /> 8 Sample Condition• ut�lrt Bcokcn..! <br /> 9 Toes rnfumiatton on <br /> Custody reports.trab'ir- <br /> t its amd sample - <br /> labels s ? Hoy <br /> I <br /> 1C1 SRn1ptC rccerV�wrihin ,� _ <br /> l hold tinme' No <br /> 2 11, proper Fresmatives <br /> € used 1 m <br /> ' 12, Temp Rea,at Lab: <br /> Ts comp 4+f--2°C? Ycs f Oo <br /> (Acceplflnce range for samples reqs g at Pres) <br /> **Exceptfoh(if nny):Mctals/ 1 asc c ?IDFF no ice? <br /> $ r <br /> or Problem COC <br /> saopie Lag '-If Circled contact Prglect Manager and Attach record of resolutlan. <br /> ! R 23(191zvm <br /> Pau._..y <br /> Rerisloit�.1 la4rtlloq � <br /> E iarzano7 <br />