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SEOU01 N ANALYTICAL SAMPLE RECEIPT LOG <br /> I)ATE Received ut Lab- (Drinkin wate") fOr YESAW <br /> (AAENTfl-IMME: TIME Received at Lab: regulatory purposes. <br /> REC. BY (PRINT) LOG 1.t4 I)ATE: (NVastewuter) for <br /> yusla <br /> NVORKORDER: regulatory purposes: <br /> 'R <br /> CONTA INE SAMPLE DATE <br /> CIRCLYTHE APPROPRIATE RESPONSE LAB Dusl CLIENT NUTRIX SA�IPLED CONDITION (ETC.) <br /> LSAMPL # NT DESCRIPTION <br /> 3TF. <br /> 1. Custudy (f 1: Absent <br /> to 1 Broken* <br /> lit/.Absent <br /> 3. Aiihilk <br /> t;5 nL I Absent <br /> 4. Airbill it. <br /> S. Saul le LaLicks: r se L/ Absent <br /> 6. SwnpleiDs: /Nest Listed <br /> oil chain-of-custad <br /> 7. S-wliple cuilditioll: t 1 f3rokell* <br /> • Leaking" <br /> & Does inl0rill'ifiorl ull custody reports, <br /> Lialfic reports,and S11111PIe <br /> No <br /> Lb I e? <br /> la <br /> �pleSa re <br /> I-eCeiYCLI wiLkill <br /> No* <br /> !'raper P I eSCIL V.1 J jVe S <br /> �@ <br /> used: /N�o* <br /> lis Ie n+leiaLurr i3laol Received'? ,I N.* <br /> No* <br /> 12, Temp Rec. at Lab: ->, degrees C <br /> (Ikcupt'ILICC Ellice fol-smilpies <br /> No, <br /> 13. Sample's cullvcwd <br /> sue re <br /> Yes <br /> *If Circled, contact pro.iect ,lild attach reC01A of resolutil)11- <br /> rtc,,ceipt Loq rap 0 <br /> %.2 FiGURE 6b <br /> 116'jj,.Tc;f 12.1 (1 I'l 010 <br />