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i � • <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME: <br /> DATE <br /> Received at Lai). (DI-inkilig water) for <br /> REC. By (PRINT'} <br /> TIME Received at Lab: <br /> WORKORDER: N 0 <br /> regulatory purposes: YESI <br /> LOG IN DATE: <br /> (Waslewater) for <br /> CIRCLE THE APPR013-RIATE, regulatory purposes: YES/NQ <br /> RESPONSE LAB <br /> SAMPLE 9 CLIE T ID SAMPLE DATE <br /> DESC TION <br /> I. ctislod.y se,11(s) MATRIX;WHILED CONDITIO C.) <br /> Present et N(El' <br /> Intact/Broken* Z--&-D 4 <br /> 2. Chaill-of-Custody <br /> Oebt Absent* <br /> LAI, --r--------------- <br /> M PL 'E <br /> SAMPLE DATE <br /> I Lrj <br /> ���D E��SCR I P��TIO N�� D <br /> 3- Traffic Rcp or(sor <br /> Pickin List: <br /> Present Lltt <br /> — Sticker�Grl <br /> 4. Airbill: <br /> res fit I/A <br /> 5. Airbill 0: <br /> 4I3f <br /> 6. Sample Labc1s: <br /> re t/Absent <br /> 7. Sample IDs: LlStjd/Not Listed <br /> — <br /> ceChain-of-custody <br /> 8. Sample Condition: I DtW t/Broken* <br /> - <br /> Leakinp-* <br /> 9. Does informaliott on <br /> cuslody teports, (raffic <br /> relyOlfsllid Sample <br /> labels a Yree <br /> SaMple received 11ri(Ijil1 <br /> hold time: <br /> 41 Na* <br /> H, Proper Prcservitives <br /> No" <br /> (Acceplance range for sampte$ <br /> *If ch-clecl, contact Project mallfiger alld attach record of resoltitioil. <br /> Sample.R45.celpl 1.0g <br />