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i • • <br /> SEQUOIA ANALYTICAL SAMPLE RECEIlPr LOG <br /> CL)Wr NArdli, I DATIC RMI ell 21 11,413, LAA (Drinktng wafer)for <br /> Rlif+.BY(1'R[NT} T)R1F.Reco:red at I.A. iagUlatarp purposes. YF.� <br /> �YC))t1C4lill)l1t: LOGIN DATE: t3 (Wnstewater)for <br /> ! — -- - — rcgublor}porpoars, Y 69 <br /> CIRCLE TJ49 APPROPRIA.TR REWONSE IAB SAMPLE DA'13 <br /> SAAIPLEP k CLIEK"r ID bE.SCRiPTIUR MATRIX SAMPLED CONDITION(Cl Q <br /> 1.*dtody Sea1(s) Pfeseat Abw <br /> Intact/ ctr� t <br /> I Chain-of-Gl:.olod 1 Absent* <br /> 3.Traffic Reports or <br /> Packm List: Pram <br /> 4 Airbill Al�ill feels <br /> Preseut! <br /> S Aubill#: <br /> G. SawleLkels 6mimflAbsent <br /> 7. Sample IDs .1 /Not LEE , <br /> on Chem-cf-Gustod <br /> 8. smPle Condttlon CL'1011*1131*1 <br /> 9 Does mformahon an <br /> custodyrepor14 traffic <br /> rcporis sad sample <br /> labels agree? Ycs rlo* <br /> 10.S=*reteived widhin <br /> hold lima a No* <br /> 11 Proper Preservatives <br /> used. <br /> L(Av.vpftu= <br /> Tamp Rm at 1.ab ' <br /> rmge for samples <br /> go <br /> uiti tliean:el res_4-N-�"C Ycs 1 a* <br /> *If Cfrded contact Pra eet Mantlget and aff#ch rccard of resolution. <br /> Sample Rgcelpt Lop <br /> Rorision Zi(11RMO) <br /> Replaces Revhdon 2(1 ffDMq Page of <br /> Effedlva i 11f 201 <br />