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SE'QUOU AKAx.YTXCAL WOLERECEM LOG <br /> CLIIVTN�►ME' <br /> • Gt�� ?JAS jcccived ut Tib: '-II��°���• .•' <br /> 7rinldg�tet for <br /> TZ=PcWvedofLstb: -2o0� <br /> YES <br /> woRKORDER: ki4< Y LOG, DAT=: WastmAter for <br /> lrcguuto}'y]PIrQases: Y 5 <br /> CCMCLE THE APPI0MUA=RESPONSE LAB CC.4TA N-M ft,7 �S; <br /> SAWLE# # CL1�NT ID DPSCR �Cyh* COh'Y?�'iTbN G <br /> I. G�st�ody Seal(s) I' seafi 14 �!� ��7t6 .� - :F==Intaet l Broken* �, eA T 0 <br /> 2.C aia of•Cu"tod f Absent* f Ir ' <br /> 3. TiaMc J ec orts or <br /> IraList: Present/ Inca, <br /> 4.Aitbill;- AirbM f St:ic3es <br /> Present t , <br /> 5.Airbill#' <br /> 6. S to Labels- � cs 1 Absent ti,, <br /> 7. Sample Ms; Gd I Not Listed .a <br /> ' an Cb2in-of'-Cusfiod <br /> 8. Sample com idon: <br /> ��► s r f <br /> 9. Does iAmatlou Ari' �r <br /> CU9t�OdyrcpoR�;'tiaff"ic - " , , <br /> ,ropatis end sample <br /> 6 Jabcls a e7 e f No <br /> 10. Semiale roccivcd within <br /> bold timmc: P, No* <br /> i�, 7sbperPresecvat <br /> Asad' �o* <br /> 12. Temp Roc.at Lab-.. <br /> (Accepta=c,rage for samples <br /> requiring thermalpre&-.44•1-20G") 'yes' O** <br /> eo flan if an <br /> MMM <br /> *XrQrj4 contact Pro•eei-1V an er and Rtt ach record of res oluti m <br /> Snmpla Pvmwpt UP <br /> • Revlslon 22(0411 IMM) <br /> Raplaces Revlslon 24(49194!00) page � � of � <br /> us 041'i5J02 � " '— <br />