Laserfiche WebLink
The SeaCrest Group Sample Receipt Form Form #: 42 <br />Louisville, CO ERective: November 20x7 <br />Project #: ~ ~~~ Sample #: ^ <br />Date: -~ , 22. ~ Initials: ~j,J <br />Samples Were: <br />1. Shipped Hand Delivered Messengered ' (circle one) <br />Notes: <br />2. Airbill Present Y ~ NA <br />Notes: <br />3. Chilled to Ship ~ Ambien Chilled (circle one) <br />Notes: ~n~a,~.~ ~,11QC~ ~ ~~~u, to-~°-~. <br />„ ~c2 ' <br />ce Blue ICe (circle one) <br />4. Cooler Received Broken or Leaking Y ~ NA <br />Notes: <br />5. Sample Received Broken or Leaking Y ~ NA <br />Notes: <br />6. Received Within Holding Times ~ N <br />Notes: <br />7. Aeration necessary Y ~ NA <br />Notes: <br />8. Sample Received at Temperature between 0-6° C . Y ~ NA <br />Notes: <br />9. Description of Sample (Color, Odor, and/or Presence of Particulate Matter): <br />rec'g <br /> DO Temp pH CI <br />Eff ,2 15 g &'. 1 <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 N7 <br />4. Unbroken on Sample Y N <br />COC Record Was: <br />1. Present Upon Receipt of Sample ~ N <br />Time ~ DO ~ pH <br />0 <br />m <br />iv <br />a <br /> <br />~~' <br />