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` ItF <br /> <Mut Nr N&IfF � -DANY, C:']D AT LAB- f� <br /> Drinking watrll�for <br /> ARC.}3Y(PRIN1) lti]R1=11)ATL.i,ila`�- reficila#o�ypu�x�as�; y13s/6 <br /> t, <br /> WOKIK01ER: b 1 DATEL,OGGiD3Uq _ f --a Wfisfesra#crfor <br /> reg��lalorgpulnses: YRS i <br /> CIRCLE THE APPROPRTAWD RWrONSR J,h U DASM CLAM ,T m � CONTATUR FRESER SAM71.Lr 'DATE REMARKS: <br /> SA 'XX# U r<1 DFSC tY-VTjON UiM 1Y}'A',L'R]:3f SAY+iPLY) CONDITION(FTC.) <br /> 1. �stociy Scalls) riesent! bsent ¢ JnN= '`-; .✓- t . � � fir a 3 • <br /> ' IntTatll3fvken'' o� i�I� C r�•� _,_ ` - <br /> '�'' 2. Chain-ofQstod mst� f Abscut,, o - - <br /> • - �. Tr@�lC Ropauts Or .r• - - <br /> x'rttkin List: - Present/ en <br /> 4. hUMU: 1litbiU/Stkkef.••'. <br /> Present <br /> 3.AirbiU#• <br /> C. Sain le tebols. zc.crit bsent <br /> 7. 3p1e3>3s; /sled/ otListed _-- <br /> un Chain-of L'osl:od <br /> S. Sample Condition: 77�tl,to}y, $rokcu*I <br /> ' <br /> ee <br /> 9. Does information on <br /> austody reports;huf is = <br /> reports and sample ' <br /> labols agree? <br /> 10. Samplawe,ivedwithin <br /> holdtime: c9 bio* ._ _ ....� <br /> 11. propwFresOrratives h Len ---�{ <br /> used: YeslNo* <br /> 12.Teanp Roo.stab: <br /> Is temp 4+t 2°C? <br /> (Acctptance Tango For samplesttqui ing the mEd prep:) <br /> FZ <br /> *#Istiteeptiort(ifatiy}: Ketals 1 D17I� {�r�cctFmmPieldj •_ - <br /> or Pmbicm GOG <br /> *IF G-�tCQO) CO11T'FAC�'PX{OJXC°T MAi'iAGEIt I�1�ID�,T_rACEI +,CORT) OF RMOLUTION. <br /> $PWTO ftcatipl Lug r' <br /> Itevisbri (ON SMb:► - Pago Of <br /> Replaces Re*lon 23(12P2") _ <br /> Effiective W118-W - <br /> _ - rSir <br />