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SEQUOIA ANALYTIC AMPLE RECEIPT LOG <br /> CLIENT NAME - :�,. , ,,. DATE REED AT LAS pL DRINKING WATER for <br /> REC-$Y(PRINT) +?i TIME RECD AT LAB: _ regulatory purposes: YES 140 <br /> WORKORDER: 4 MN 6Q??7_- . DATE LOGGED IN, ...��.{..-.1 �' � WA$Tr-- IIWATER for <br /> regulatory parposos- YES! 2P <br /> .w CIRCA=THE APPROPRIA1 E RESPONSE LAB DASH CDI�lTAIHER' PRIrSi RY SAMt'E.� DATE kEI�1Af2KS; <br /> 9AMPI.I»# 9 I.I��T to DESCRIPTION ATIYE <br /> MAYRUC SAMPLED CONDITION(ETC J <br /> 1 Custody Sear{s) prCScO <br /> 2 Cham-al-Custody /€gyrest/Absene <br /> 3 Traffic RepG is r <br /> PacWn List present t en —_,� - x <br /> 4. furbi ll- AIrb1111 S <br /> Present b C9 L of <br /> S Sample l abel'& re t 1 Absent - <br /> 7. Sarnp!c 10s• d!I+Iai Listed <br /> C2 a S.•impie Condatron'_ I Broken'J 2- CZ w <br /> if <br /> 9. Daes Information on <br /> Ghal".6f custody,traffic fs ff <br /> reports and sample (p .� <br /> labels agree? - s!No" � '1 <br /> 10 Sample received within <br /> hold time: 1 No' <br /> I- Adequate riample volume <br /> received!_ [Y sI No' - <br /> _- _ ,r <br /> 2. Proper Pteservatntes _ - <br /> usod 1 Nfl' <br /> 3 _Temp Rec at t ab <br /> Is temp 4{l--2'C? <br /> 4omptancg range far Sarnp7es requ-mg thermal MQ <br /> -Exceff1cm cif array)- METAL$ I DFF ON ICE �{ <br /> orT'rOblern COG - f <br /> i <br /> SK nr `IF CI RCLSD,CONTACT PROJECT MANAGER AND ATTACH RECORD dF RESOLUTION. <br /> jjalralan#(1frit7rD3) �.�r:.z=------ — <br /> �4tYwon Rawsiwi (09ri8lQ3) Pagetof <br /> r" P-tie 11/ W3 - . <br />