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, I <br /> SEQUOUANALYMAL SAMLZ REMPT LOG � <br /> CLWT N,'v : .. ^_ DXTX Received At Lab: Dxra 4mzvstear for <br /> MC.BY(PRL'M 3 TZMReceived at Lab: % regalatary purposes: YES N£3 <br /> WOMMMU LOG IN DAM 10-►19-0 5L Wastewater fax <br /> retorw purposes: YES <br /> C.n2(LE Tm. 'POxl=ATEXXSPO.NSYI ' TO CONTAMM SAFE'S D,iTE MINMim: <br /> SAMPLE# # CLMNTID nscRipmo t MATRIX sA{'VTMED cow)rrm TC <br /> I Custody Sml(s) 'res atl� --! 0- -G a :Z! 1/0 <br /> Gain-cf-G tsbod scs 1 Absart* '3 <br /> 3.Trf'ic Reports or Pj– <br /> Pack= L�si, kres Abseu <br /> 4. Airbzll, ;kffb1U!Sacker— <br /> S.AnbiE A- <br /> 6. Smypto Labels- r !Absent ' <br /> 7 Sande IDs' ste 1 Not Lcd f <br /> on chmn-of9 t <br /> # 8. 5 mple Condition. <E5V Br(>?,AM*1 1 <br /> 9 Daes=n bnnaton on <br /> custody reports,ma io <br /> ra.pom cad s=ylc <br /> 1�bels tee? Y 1No* <br /> 10 Sample received wittvn <br /> hold time <br /> 11 P% eavatwes <br /> used: 'Y 1.No ' <br /> 12 Temp Rec at Lab <br /> (A=cptancc range for san!pI <br /> rcgi:iring thermal pies 4+l 2°C) Ycs No** <br /> **Exceation If i <br /> *Xf Ciurdea,contact)?zoi ect Manager a'1y,d attach >rtwrd of>resolatiaz><. <br /> rmpla Rocerpt Log + <br /> ,swn 2.2(04111102) Page�Lof <br /> ,800SR0vsion x E( 9/10100) <br /> sve 04115102 <br />