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Saml i <br />" /~., <br />~~ ~(~~ pie Nom=- per - <br />Project Number - <br />lI _ S _ ~6 ` '1 <br />Date <br />S ere: <br />I.~ Slripp or Hand Delivered or Messengered <br />OTES: (Please note name of stripper c ,. N <br />Y( <br />2. Air Bill Present: ~, <br />NOTES: °C pH <br />TemQ G ~ A.i <br />3. Ambient or C~hille (Circle One) Ice or~~ „ ~~ ~CJ , ~ D' S /~ <br />NOTE ~ _;ff <br />y ~ l <br />:Lec <br />4. ~ .er Received F uken or Leaking _ 1 <br />NOTES: y f <br />~. Sample Received Broken or Leaking (Imp. z;: ,.~) <br />NOTES: y ~~ <br />6. Sample Properly Preserved (4°C) ~ <br />NOTES: Y <br />7. Received Within Holding Times <br />NOTES: <br />latter) <br />8. Description of Samp#e (Color, Odor, and :~ of Pmt' <br />EFF: ~, ~ -- . <br />REC'G: _ <br />`! `~ <br />COC Tape Was: <br />1. °ree=~• ~^ Outer Package `( <br />y <br />~.. ~anpke <br />NOTES: ~ ~ <br />.~ <br />COC Record Was: <br />1. Present Upon Receipt of Sampi <br />i~ <br /> <br />