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I <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> ^ <br /> CLIFNI NA11)E._ - DATE Received at Lab. —0 (Drinking water)for f <br /> RFC. I31'(l'I2INI) TIME Received at Lab• regulatory purpose& YESAQ <br /> WORKORDER, LOG IN DATE. 11195 (Wastewater)for <br /> regulatory purposes YES10 <br /> CIRCLE'IHE APPROPRIATE RESPONSE LAB Dash CONTAINER SAMPLE DATE <br /> SAMPLE# # CLIENT ID DESCRIPTION pH MATRIX SAMPLED CONDn ION (ETC.) <br /> 1 Custody seal(s) A <br /> bsentt/Absent <br /> 1 Broken* •� <br /> 2 Chain-of-Custod re t/Absent* <br /> 3 AErbsll <br /> Ares <br /> 1 Absent <br /> 4 Aubill#f DIUA3jA <br /> 5 Sample Labets t 1 Absent ills <br /> E Sample IDs sle 1 Not Listed <br /> o Cham-of-Custod <br /> 7 Sample Condition Int t/Broken*/ <br /> Leaking* <br /> S Dots intot enation on tustodv reports, 14 <br /> tratfic lepolts,and sample <br /> Iabcls a ee) I No* <br /> i <br /> 9 Sample rtcelvtdl within <br /> hold mail 1 No* <br /> 10 Pioper Preservata`es <br /> used /Noy' <br /> I l l em eratuit.iilank RLte1\ed? 1 No's <br /> 12 Iernp RCL at Lab 13, de enC <br /> 1ALcaptau(,e range for samples ' <br /> 1Lc u1rin thermal pits 4+1-2°C) e5/Noy` <br /> 13 Samples Collected more <br /> than 4 da s ago Y /No <br /> F a N »i5 ry�F +in it V rrr 1 7 r-+ a ..o - <br /> *If Cit cled, contact Project Manager and attach record of resolution. <br /> Sample Receipt Log <br /> Rotnsron 2 2(8130104) F'nn^ -J _ <br /> noplaces Revislon 2 1 (1Ill 0100) FIGURE fib <br /> 1:ttective 9,1/Q4 <br />