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SEQUOIA ANALYTIA SAMPLE RECEIPT LOG <br /> CLTENT NAME: DATE REC'D AT LAR: c�''r � For Regulatory Purposes? <br /> ITEC. BY(PRINT) �., TIME RECD AT LAB. 02:i 0 DRINKING WATER YES <br /> WORKORDER: !°''J� bi' � DATE LOGGED Ihl; �'•-r,'lr " C — WASTG WATER YES/P <br /> j (For clients requiring preservaifon chocks at receipt,rl4CdVMe0TL h0 01 ) <br /> , <br /> CIRCLE THE APPJ40 PRIATE RESPONSE LA13_ RASI ICOhITA1NER PRESERV SAMPLE DATE REMARKS: i <br /> SAMPLE 0 # CLlENTIfy DESCRIPTT4N ATIYE Vu MATR)X SAMPLED CONDITION(FTC.) � <br /> i. CuslodySoal(s) Presoril — p09 —1 <br /> I Broken* <br /> 2. Chafn-of-Guslod Pre J Absont' ' <br /> r 3. Traffic Reports or <br /> Padkin List: Present <br /> 4. Airb`fk Alibax5tic <br /> res bsenl <br /> S. Airb>>J 9: - F <br /> 6. Sample Lebals: f Absent <br /> 7. SamjjJo IDs: .Is f Not Listed. f <br /> ain-ol-Guslo�l <br /> 8. Sample Condition: 1l3raken'1 <br /> Lo.�kin ' <br /> t <br /> 9. Does fn(armalion on chain-of-custody, <br /> traflic reports and sample la bRLsi <br /> agree'? No- <br /> i <br /> 10. Samplo received witliln <br /> hold time? 1 No` r <br /> e <br /> [- 12. <br /> . Adequacysamplevolume <br /> recehed? 1No'. Proper Preservativesuop Slan(c No+ <br /> Trip U1 mived? ! <br /> circle vrhich,it y f? Ye No' <br /> ". G <br /> 14. Temp Rec al.Lab: I <br /> Is temp 4 tl--2'C? a o" I <br /> tMmptanca rarmje torsampk&r"ul rr j thermal pros j Y <br /> "Ncoptian(ii any): METALS ! DFF ON 10J= <br /> A.bi Problem CCC ` <br /> '1F CIRCLED,CONTACT PROJECT MANAGER AND ATTACH RECORD OF RESOLUTION. <br /> ':�+rman�eut r'aao � at <br />