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SROIJOU ANALYTIC,SAMPLE RECI+IPT LOG _ _ •` y <br /> F <br /> ( oCIL DATE Received at Lnb, e� ( lirluking tinter far(PRINT) r�! Tlh1R�ltecelyed at Lab; I�t}O rcgnitttary purltinses: YPS [TLOG IN DA'!'b;: 1i; �to' Wasfeivoter for <br /> regulatory parpuses: YTS <br /> TIE r AI'PROPWA" E RESPONSE LAB CONTATiNMR SAi5MAt DATE REMARKS: <br /> SAMPLE 11 # CT.TFN'1'11) T)ESC1tff TYC ;•1 -AWf tIX SAMPLU D CONDITION TC.eel{s) Present r1�5 .�Intact!R3rokcn* f <br /> 2. Chain-af-CuStoB i'icsc tt Absent* do <br /> 3.TratIicReports or � <br /> Packing List: presen bs� r— <br /> 4. Airbill: Aitbil(!S—daer A' O <br /> ' Present bt�_t� <br /> 5. Airbill.H: I/- <br /> 6. Sam le labels-, r se t 1 Absent <br /> ?.5amirltsIDS: 'yecl914otListed <br /> h on Chain-of-cwod S. Sample Canditioa: Tact-Drokcu*! <br /> 9. Docs infunnaiion oit10 <br /> custody reports,traffic' <br /> repasts and sample, <br /> L(AweliMucrango <br /> ls a rcc? !Wog <br /> plereoivedwilbtn <br /> finte: `, a�INo* e <br /> 4 er 1'reser4fives <br /> i ' -p Rec.at Lob:p 4-F1-2"C:? YesfNoatruc rango for Samplesrequiringthermal prss.)k <br /> (idn(ifany):MetalsID11F on ica7!bT?Fnoice? 1blem CpC -- -- -- —_' — — —�-- - <br /> *If Cirdedl conhet Pra'cct Mann cr aiso attach record rif resointion. <br /> sampre Receipl Log <br /> Revision Z3(VIM2) <br /> -Replaces Revision 2.1(04111I82) --L . <br /> Etteo&e IW4fD2 <br />