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SEQUOIA ANALYTICAL SAMIN RECEIPT LOG <br /> .LIENT NAME: MASTEtt LOG NO ! RAGE- S Z, . <br /> IEC . BY (PRINT): DATE OF LOGIN: -7lr <br /> 'IRCLE IHEAPPROPAIATE SESPONSE LAS SAMPLE DASH CLIENT CONTAINER SAMPLE DATE FIEMARKS: <br /> # 17 IDENTIFICATION DESCRIPTION MATRIX SAMA. CONDITION IETqJ <br /> 1 I. Cuslody Seal(s): Present ! b e A fAW f <br /> Intact 1 Broken' o <br /> ? Custody Seal Nos.: 6 "" <br /> I. v D� <br /> 3. Chain-of•Cuslody r s ( P Absent' <br /> Records• (� <br /> 4 Traffic Reports or Present f en ' <br /> Packing Llsl: <br /> S Alrbili• AlrbM f Slicker <br /> Present 1 <br /> 6 Airbill No : <br /> T Sample Tags: es r 1 Absent' <br /> Sample Tag Nos • 1 Not Listed <br /> on Chain•ol-Cuslody <br /> 3 Sample Condition, Yrt`d /Sroken'/Leaking' <br /> 9 Does Inlormalion on �91 No` <br /> custody reports, tralllc <br /> reports and sample lags agree? I <br /> 10 Proper s 7 No' <br /> Preservatives Used, <br /> 11 Date Rec al Lab: <br /> Time Rec. at Lab. A <br /> 5z) dcr <br /> 5 <br /> ed, contact Project Manager and attach record of resolution <br /> Form SCOP 1 Page of f <br />