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4 <br /> SEQUOIA ANALYTICAL SAAR-LE' R C EIP'T LOG <br /> CUENT NA1 M: ._ � DATE RECD AT LAD: � � R Drinking water for , <br /> lzRcuy(1'lttml - 11=11EC'11A1'TABI �GjQ rcgulaior•lmrl�oscc: �fES <br /> WORK01t ER, DATE LOGGED].Z�1: Wastewater for <br /> rcgulatorypurpascs: YE-S/ <br /> C`JRCL.K'fBY.APPIROYIiYNry�Itys)[IONSE LAB DASLIJ CLILIN 11) COIITT umm rM1 ER RAMPLF DA,TR RRMARKS, <br /> SAMPLE# # DF 4C,R1PTION VA.TM watu SAwfxv CONDITION(LTC,) <br /> 1. Custody Seal(s) 1'rc90At 1,�(M;e&& 0 t� <br /> Intact ll3Acn*-"` �^ r <br /> 2..Chnin•o£-Custody Present bse d* <br /> 3.Triffia Repaits or -` - <br /> Packin List: I'reae f <br /> 4. AlrbilI: AirbM tckor <br /> 5.Airbill#• - <br /> S. S�+m icE,ahcls: 1'resc /�1bseQt <br /> 7. ,Snmplo WS: istc /Not listed <br /> onoutlu-of-custody. <br /> 8, Saniplo Condition: Inta Bmkca*I <br /> Leitkia * <br /> 9. Does inforrantion on <br /> custody reports,traffic <br /> reports Moll ssrnple <br /> labels A ve? Cs I•fo* <br /> to. Smnplereceived within <br /> hold Luno: /No# <br /> l 1. Proper Preservatives - <br /> Used• es No <br /> F <br /> 12. Temp Ree.at Lab. <br /> Is tomp 4 W--2°C? Yes l Ido** <br /> (A=epjanca n,nge for s'niplcs requiring thermal pies.) <br /> jS=0.?ii0u If an Ivietals } DFF (DirxtFmMmeld) <br /> or Probtcm COC <br /> �IV CiRCUT) CONTACT PROJE,C.7A MANAGER AWD ATrACW RECOAD'OYt MGJjUTION, <br /> Sample Recelpt Log - <br /> ReAbn 3(03118103) pago of <br /> Replaces Rev3slon 2.3(12124162) <br /> EKecOve Q9 M03 <br />{ <br />