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SEQUOIA ANALY11CAT,SAMPLE RFCEIPT LOG <br /> CLIFNT NAME: - /�J�� rim DATE Received at Lab: Drinldng water for <br /> RFC.BY(PRIM) <br /> S � <br /> TIME Received at Lab; /3?`f regulatory purposes: YY 0 <br /> WORKORDER: J! Z7 gZ2 LOG IN DATE: � Wastewater for <br /> regulatory purposes: Y /N <br /> CIRCLE THE APPROPRIATE RESPONSE LAB CONTAINER. SAMPLE DATE <br /> SAMPLE# # CLTRNT TD DESCRIPTION MATRIX SAMPLED CONDITION TC- <br /> i <br /> 1. Custody Scal(s) Present/ se <br /> Intact/Broken* <br /> 2. Chain-of-Custod res It/Absent* <br /> 3. Traffic Reports or <br /> PackingList: Present/ sent <br /> 4. Airbill: Airbill/$tic <br /> Present/ se <br /> 5. Airbill k <br /> 6. Sample Labels: res /Absent <br /> ' 7. Sample IDs: ist /Not Listed t <br /> Oil Chain-of-Custodyi <br /> a <br /> 8. Sample Condition: n t/$roken*/ ' <br /> s �I�akin ' <br /> 9 <br /> i 9. Does information on <br /> custody reports,traffic <br /> reports and sample <br /> labelsagree? Y /No* <br /> 10. Sample received willun <br /> hold lime: Y /Na* <br /> 11. Proper Preservatives <br /> used: /No* <br /> m <br /> 12. Temp Rec. at Lab: � G <br /> Is temp 4+/-2°C7 ` Ye No** <br /> (Acceptance range for samples requil mg themlat Pres.) <br /> **Bxeeplion(if any):Metals/DFF an ice?/DFF no i ? <br /> or Problem COC <br /> Sample Recelpl log *If Circled,contact Project Manager and attach record of resolution. - <br /> Revlslon 2.3(12/2,102) - Palle of <br /> Replaces kevlslon 2.1 (04111102) <br /> Effective 12/24/02 <br />