Laserfiche WebLink
<br />The SeaCrest Group <br />!_ouisville, CO <br />Project #: j03'L <br />Sample Receipt Form <br />Form #: 42 <br />Effective: January 2003 <br />Sample #: <br />Initials: S/°I/~ <br />Date: ;rig/J7 /~-> <br />Samples Were: <br />1. Shipped Hand Delivered Messengered <br />Notes: ;,'~~ <br />2. Airbill Present <br />Notes: <br />3. Chilled to Ship <br />Notes: <br />4. Aeration necessary <br />Notes: <br />(circle one) <br />Y ~ NA <br />Ambient hille (circle one) <br />Ice > Blue Ice (circle one) <br />Y G~ NA <br />5. Cooler Received Broken or Leaking Y ~ NA <br />Notes: <br />6. Sample Received Broken or Leaking Y D~1~ NA <br />Notes: <br />7. Sample Properly Preserved Y ~ NA <br />Notes: <br />8. Received Within Holding Times Y <br />Notes: <br />9. Description of Sample (Color, Odor, and/or Presence of Particulate Matter): <br />eff: C~ew,- ~ E/~~sG, ~ IUD dew ~ lU~ (/7, <br />rec'g <br />COC Tape Was: <br />1. Present on Outer Package <br />2. Unbroken on Outer Package <br />3. Present on Sample <br />COC Record Was: <br />1. Present Upon Receipt of Sample <br />G~' N <br />~~ N <br />Y C~ <br />N <br /> DO Tem H CI <br />Eff "i ,~ ;",E ~~) __V~ <br />Rec' <br />NA <br />Time DO H <br />0 <br />a <br />