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ACZ Ltwria;e. Inc. • • <br />3oaaa n~wn tk;.e <br />s~eemb°u spring, co aoas~ <br />Page 2 of 2 <br />SAMPLE RECEIPT FORM <br />CLIENT: n, raa DATE f 2 ~6 ~f 8 <br />PROJECT #: L 2 /~(3 ~' ANALYST: '- <br />TEMPERATURE VERIFICATION SAMPLE CHECK (°C) <br />CONTAINER TEMP (°C) RAD <br />ID 2° to 6° µR/hr <br />~ . 2 ! 3 If container radioactivity is <br />> 25 µR/hr then each sample <br />must be screened. <br />PRESERVATION CHECK (pH) & RADIOACTIVITY SCREEN <br />SAMPLE R G Y YG B BG O T P RAD <br /><2 <2 <2 <2 <2 <2 <2 > L2 > 12 <br />~ l <br />2. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />INTERNAL COMMENTS: <br /> <br /> <br /> <br />REPORT COMMENTS: <br />ewNQaott.ot.s~.oa <br />