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• i <br /> SEQUOIA A14ALYTICAL SAMPLE IIECEIPT LOG ' <br /> LW r.JC11 L <br /> CLIENT NAME- �� &0-c}lo C� J MASTED LOG NO ! PAGE* '` <br /> I1EC BY (PRINT)' HATE OF LOG-1N: , <br /> C1R(;LE 11 IEAPPfi0PmATEz nESPONSE LAU SAMPLE DASH CLIENT CONTAINER ISAMPLE DATE nEMAni(s: <br /> !! 11 IDENTIFICATION DESCRIPTION MATRIX SAMP. CONDITION(ETC) <br /> 1. Custody Seal(s): Present / sell U C, - (3) 04. UaV,n �e <br /> Inlacl ! Bruen' -M v) - `I <br /> 2 Custody Seal Nos.: <br /> 3 Chain-of-Cuslody Prese ! Absent' <br /> Records, <br /> 4 Traffic Fleports or Present ! steer I <br /> Packing List, <br /> 5 Alrbill- Alrbill ! Slicker <br /> Present ! <br /> 6 Alrbill No.: _ <br /> 7 Sample Togs. f es ill l Absent' : <br /> Sample Tag Nos 1 Not Listed ' <br /> on Chaln-of-Custody <br /> 8 Sample Condition la IlBroken'lLealcfng' <br /> 9 Does Information on tq/ No' <br /> custody reports, Irallic <br /> reports and sample lags agree? <br /> n <br /> 10. Proper es No' <br /> Preservatives Used. € <br /> • I <br /> I I Date nec at Lab, DSc�yy ! E <br /> e <br /> Time Fiec at Lab- <br /> contact Project Manager and attach record of resolution <br />