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The SeaCrest Group <br />Broomfield, Colorado <br />' Sample Receipt From <br />Project Nu'mrber ~~a9, ((~ Sample Number ~_ <br />Date_ '~+ - o~ ~ l InitialsSZ <br />Sample re <br />1. r <br />T <br />Form No.: 036 <br />Effective: May, 1997 <br />Hand Delivered or Messengered (Circle One) <br />O ES: (Pease note name of shipper or messenger service) <br />k <br />2. Airbill Present Y ~ NA <br />NOTES: <br />3. Ambient or¢)Circle One) Ice o ue (Circle One) <br />NOTES: Eff <br />Rec'g <br />D.O. Temp. °C <br />Y /F~ <br />Y ~ NA <br />PH cl <br />~. ~ VD <br />4. Cooler Received Broken or Leaking <br />NOTES: <br />5. Sample Received Broken or Leaking (Improperly Sealed) <br />NOTES: <br />6. Sample Properly Preserved (4°C) <br />NOTES: <br />7. Received Within Holding Times <br />NOTES: <br />Y N <br />N <br />6. Description Of Sample (Color, Odor, and/or Presence of Particulate Matter) <br />EFF: <br />REC'G: <br />COC Tape Was: <br />1. Present On Outer Package Y <br />2. Unbroken On Outer Package Y N <br />3. Present On Sample Y <br />4. Unbroken On Sample Y N <br />COC Record Was: <br />Y <br />1. Present Upon Receipt Of Sample <br />NA <br />NA <br /> <br />