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€ <br /> , <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME: DATE REC'D AT LA 10127 For Regulatory Purposes? r <br /> 'REC.BY(PRINT) r TIME RECD AT LAB: DRINKING WATER YES I`A�D <br /> WORKORDER. DATE LOGGED IN, WASTE WATER YES 10 <br /> CIRCLE THE APPROPRIATE RESPONSE LAB DASH CONTAINER PRESEAV p SAMPLE DATE REMARKS' <br /> i SAMPLE# # CLIENT ID DESCRIPTION ATiVI= H MATRIX SAMPLED CONDITION(ETC) <br /> ' I.,CustodySeal(s) resent Absent <br /> (Irn—tact0roken* <br /> 2 Chain-of-Custod rase 1 Absent* i <br /> 3 Traffic Reports or <br /> -Packing List PWW<Absen <br /> 4 Airbill Airbill/ ticker <br /> P p <br /> respoil Absent <br /> 5 Airbill t t <br /> B Sample Labels res nN Absent <br /> 7 Sample 1Ds ted of Listed tp <br /> on Chain-of-Custod <br /> S Sample Condition nt � roken*/ <br /> Leaking* <br /> 9, Does information on chain-of�custody, <br /> traffic reports and sample labe <br /> es <br /> agree? /No* <br /> 10 Sample roceived within <br /> ho(d time? Yes No* <br /> 11 Adequate sample volume <br /> recenredl /No* <br /> 12 Pro rases Y /No* <br /> 13 np Blank/Temp Blank Receiva <br /> drde which,If es e /No* <br /> 14 Read Temp + <br /> Corrected Temp 4 <br /> L <br /> ted temp 4+f-2°C? e !Na'�ge for samples requiring thermal pros(if any): METALS / DFF ON ICE <br /> m COC <br /> ' *IF CIRCLED,CONTACT PROJECT MANAGER AND ATTACH RECORD Op RESOLUTION <br /> I SRL Revision 7 <br /> RN Revs(07I13104) <br /> Page. o <br /> „ <br /> ENW07119105 910.5 , <br />