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I <br /> SEQIJOIA ANALYTICAL,SAMPLE I SCRIPT LOG <br /> C)LIRNI NA IE- r DATE Reivved of Lah L (Drinking wailer)for <br /> RSC.BY(I'RIN1) TIAIL Rceel ed at Lsb: )Ll Ib rrgulalory purposes, Y �N <br /> �'YC}RMIRDIEW — L I.M.-IN DATE, (�yagiewater)fnr <br /> I regulatory purposes" Y SJNC� <br /> C:IRC:LE 1'11L. "PROPRIATI:RFSPONSRI.AR SANTPLFf DATE <br /> - SAMPLE# M CLIENT ID DESCRIPTION MATRIX SAMPLED CONDITION(ETC.) <br /> i <br /> Custody Seals) PresentIlse W—1 -I ` <br /> Infect t Rjo cn <br /> 2 Cham of Clrstody r+ E 1 Absent* La - I <br /> 3 Daffio Reports or 1 ,� <br /> Packing List PnCSCnI sc { -61 <br /> 4 Alrbi11 Aubill/Sfickcr { <br /> I'rcgGrrt I sa <br /> ' S Alrbilt fl, <br /> G Sam le Labels t/Absent 0 C4 —1 <br /> I Sample IDs /Not Listed l — 1 ' <br /> " on Cltarn-of-L�starl � � <br /> 8 SMIPIO COnrJrll031a t Hr*kCnA I <br /> � # \A) <br /> 9 Does iufarmalron on T-A V60 — <br /> } Custody wporls,traffic I <br /> reports and smnple <br /> i <br /> —I alnTs agreo'7 es No{ - <br /> 10. Saniptereceived wdtrrn i <br /> hold lima 011 <br /> f !l Proper Preservatives <br /> used a Alot <br /> 12 Temp Rec al Lnb <br /> (Acceptauce range for saluples <br /> tcLuLranA llienual Lm +1412°C) Yes f Flo* <br /> a w,x,wa.ueuaeacoaeo,'a ^t r <br /> *IfOrded,contact Pioject Manager and attach record of resolution, <br /> Sample Receipt tog <br /> Rowsron 2 1 (11110100) <br /> fteplaces itemlon 2(111DOW) Page of <br /> Effeetnr©11112M <br />