Laserfiche WebLink
1111 <br /> SEQUOIA ANALYTICAL SAMPLE RECEIPT LOG <br /> CLIENT NAME; tb DATE RECD AT LAB. ��� For Regulatory Purposes? <br /> REC,13Y(PRINT) TIME REC'p AT LAB, 2(j DRINKING WATER YES/NO <br /> WORKORDER. _ M(1'fr 12nID DATE LOGGED IN g'11-1 . WASTE WATER YES/NO <br /> CIRCLE~THE APPROPRIATE RESPONSE LA13 DASH C1,IENT ID CONTAINER PRESERVI SAMPLE DATE REMARKS <br /> SAMPLE# # DESCRIPTION ATIVE <br /> pH MATRIX SAMPLED CONDITION(ETC) <br /> 1 Custody Seal(s) re /Absent <br /> nta /Broken* <br /> 2 Chain-of-Custody rese t/Absent* <br /> 3 Traffic Reports or <br /> Packing Listresen Absent <br /> 4 Airblll r 1 /Sticker <br /> resent/Absent <br /> 5, Airbill tf l lcx <br /> J <br /> 6 Sample Labels rase t/Absent <br /> 7 Sample IDs Iste /Not Listed <br /> on Chain-of-Custod <br /> 8 Sample Condition �b/Broken*/ <br /> Leaking* <br /> 9 Does information on chairs-of-custody, N <br /> traffic reports and sample labs s <br /> P p <br /> a reo? 1 No- <br /> 10 Sample resolved within <br /> hold time? 01- 1 No* <br /> 11 Adequate sample volume <br /> received? No* f <br /> 1112 Pro pet preservatl sect Ya /No* <br /> 13 rip 61an /I �mp B�el{clic n 1 ch If o1 No* <br /> 1.14 BeadTemp <br /> Corrected Temp <br /> Is corrected temp h+/-2°C? I No** <br /> (Acceptancu range for snmplos requiring thermal Pres J t <br /> "Exception (if any) METALS / DFF ON ICE Al <br /> or Problem COG <br /> *IF CIRCLED, CONTACT PROJI�CT MANAGER ANC7 ATTACH REGORD OF RESOLUTION, <br /> :.,Til.novislon 7 <br /> " Replaces Rev 5(07113/04) Page of <br />