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I ' � <br /> ST;QUO[A ANALYTICAL.SAMPLE RECKIPT LOG <br /> t <br /> [ .fTrtiTi'N11hiE • A, DATE Received At Lab. t fib (Ilrrnlcirrg ti;.iter)for <br /> RE BY(PRIi1TT) '_ THME Recemed ul La ti regulatory purposes �' ►V <br /> WORK(}liDER: II LOCIN DATE- (Was(grvatc'i)for <br /> II <br /> rrpriatary Pnrlroses: YES <br /> L'l1�Cl,1�T1iF AYPItOpI;[ATEIi'�SSFOA*S'1". LAB I i� 8Al1iI!l.l: UA1'L <br /> SAMPLER IF CLIR�TID DESCRIPTION MATRIX SAMPLE <br /> - 1} t'ONT)MUrrT(]RTC} ' <br /> 1. Custody Seai(s) Present <br /> i <br /> Z_Chai"f-Custod I Abscat* <br /> 3.1 rallia kepone or i '1. �I <br /> IlacUm List: Fresco sci i , <br /> 4 Af W] Airbifl IUCFer <br /> Present seri q W t <br /> 5. AUbJll# ` <br /> b.S Ix /Absent <br /> 7 Sarnplr<IDS l.ia }Not].Fated 1' � <br /> S. Sample Conditfon: 1tac Broken*I <br /> 9. Dws mfommon an <br /> 11 <br /> 1 mrstody reports,tmfflc <br /> ' repmts�t,dsempto �f <br /> ,r <br /> labels a rr.� <br /> I <br /> 14_ Ssmirtc recemed wrtbin � 'I <br /> hold times es No* <br /> It Proper Pmerveamw 1 A t <br /> wed es No* i <br /> 12.Temp Ree.at Lacs.. <br /> (Acmptancerange for sAmpIft _ <br /> .requiringthemi-d pm 4 Ef , YtslNo* I <br /> *if Circled contact Prn`ect 11rfKn ' <br /> J ;cr andttch rccnzd of resollitton. <br /> 8OM&kBow Loa I i <br /> RsATas 21(1ItlecM <br /> RedW fLm4dan 2{t i�mPage- <br /> i <br /> I <br />