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_,~~~ ~ • <br />~~~;.~. <br />~~ <br /> <br /> <br />CLIENT: (~ t J C,tHC~ <br />PROJECT A: ~ of L'f~ wttN ~ - Page 2 of 2 <br />SAMPLE RECEIPT FORM <br />C~j,F _ DATE I ( r f O tS$ <br />ANALYST: I A tc <br />TEMPERATURE VERIFICATION SAMPLE CHECK (°C) <br />coNTAnaPx tEMP ~•c> Rn.D <br />m 2• to 6• µ[t/hr <br />.3 ~ - If container tadiaacdvity is <br />> 23 µR/hr then each sample <br />mtut be saeened <br />PRESERVATION CHECK (pH) & RADIOACTIVITY SCREEN <br />SAMPLE R G Y YG H BG O T P RAD <br /><2 <2 <2 <2 <2 <2 <2 > 12 > 12 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />QJTERNAL COMMENTS: <br /> <br /> <br /> <br />REPORT COMMENTS: <br />t+twQnou.ot.ma <br />