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r <br /> SEQUOXA ANA.i.3,''Z'ItrA.1.,WkIPLERECIEUPT LOG <br /> DA'LL,11t ccivcd at Lab: Drinking water for <br /> REC.)3Y(PRn\7) TrW,xtecelved at Lab* r "'�^a regulatory purls s: <br /> WORKURl7E1t: _ LOG IN DATZ. Wast4waicr for <br /> regulatory purpoaes: <br /> CTILCLE TILE Al ll tOPRI TE RMONSE LAD GCI;~i I'AxlSltlt SILMFY�>�. DATE RED1AttKS: <br /> SAMPLE# N C:L,XE+;N l'ID -)3l±SCRIf'TYUlf MATRIX SAIMED coNDT ori 'l'C <br /> ]. Cwtody SmI(s) St4 -TO Q% t't.,c •z..1+C-• ' <br /> Intact/13roken� � �" - <br /> c 1 Absent* - <br /> 3. 'l�aftic.Reporis or - <br /> 'Pacidri Last: Present! seat - <br /> h. Alrbili: Airbill f 5tloker <br /> I`j�Pj Absent - <br /> S. A'bill#: �'- <br /> 6. Ssin le Labels: t i Absent _ <br /> 7. 4arrrpl$IDs:. f loot Listed _ <br /> Oil Chaln-of-Custad t . <br /> S. Samplo Condition ]irokcn�1 - <br /> • <br /> 9. Does ittronnationon i^ <br /> custody reports,toMOG, 1 <br /> rc.Ports eud aftpla. - t <br /> labels s c? Nay - <br /> 14, tiStvnplcieceiml W101 III <br /> hold clma' n° - <br /> I1.Yrapeil�rescrvalivcs <br /> 12.TeLRC „36: <br /> Ts C? yes}wo” <br /> (Ampraamplrs mqu{ring 1herniat Pres.);VEXCy):Motmb_LDFF oaira41 DFF no icc4orC <br /> - *X£Circled contact Pro ect Mann cr and attach reebrd of lrmohtti6n. <br /> Samplo R000ip!IA g - C. - <br /> RWslon 2.3(12123M2) Page of <br /> Replaces ROVIS ri 2.1(04113[02) - <br />