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i � 4 <br /> SEQUOU1 ANALYTICAL S,± NTLE RECEIPT LOG 'I <br /> �I <br /> CuEN I'NAM-. DA'Z'E Received at Lab: Drinking water for <br /> REC.BY W)3)N'If) TIME Received at Lab- LL(" reatory py rp 7oSCS, YES <br /> WORKORDFR. LUG IN DATE: t Wastettrater far 11 <br /> E regulatory jaurposcs. YE 'NO <br /> t CIRCLE THE APPROPRIATE RESPONSE LAB <br /> CONTAINER SAhfPLE DATLO R)rMARKS. <br /> SAMPLE# if CLIENT 1 U DESCRIPTION MATWX SAIIWL ED CONDITION TC <br /> I. Custody Seal(s) PMSent Abwnt ,( <br /> Intel l Pir ikent� <br /> 2. Chain-of-Custody �KU/Abscnt* <br /> 3 Two Reports or li <br /> Packkn List Presentl t <br /> 4 Aubill Attbtll l Sit j II <br /> Qn�ent >xsen6 U 7l I If <br /> 5 Airbill ff. <br /> G. Sam le Labels P l Ahsent ,r <br /> 7 Sample IDsrsre f Not Ustcd II <br /> an Chin-of�u�od � l � <br /> 8 Sample Con(btron ct B(oks'10 IF a 1 <br /> 9 Does information on <br /> reports and sample <br /> labelsWee? M No's <br /> 10 Sample i=ived within <br /> �f <br /> f Bold tirw cs hay' I <br /> 11 Drapes Pmeivatwes i <br /> used, f Host 1 I� <br /> 12_Temp Ree at Lab, <br /> Js temp 4 41-VC? Yes f No'" <br /> (AMPRUce range for smt plcs requiring thermal pars) �f <br /> "Exception(lfany) Metals lDFF on ko?/DF[r no ice? <br /> or Problem COC I IC <br /> x <br /> SWOORempt409 *If Circled,coli a &olecf M nnRper Rnd attach record of resoTuflon. <br /> Ravi m 2-3(IMM <br /> -- —_' -- .-_ - -.•- <br /> Replaces Haves m zl(MIM) j Palle Of <br /> i � Ott S2fIR'D2 i ;I <br /> i <br />