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wwa Ib.als3 0~ _ <br />sr~ swmo~. co soul <br />Page 2 of 2 <br />SAMPLE RECEIPT' FORM <br />CLIENT: St~c2 DATE_ 7 c/ <br />PROTECT [t: L 2Ec T 7 ANALYST: <br />TEMPERATURE VERIFICATION SAMPLE CHECK (°C) <br />CONTAIt3ER TEMP (°L7 RAp <br />[D 2° to 6° µRfir <br />'~•~° L~ [Fcontainerradioac[ivityis <br />_ ? 25 F~ then each sample <br />mtut be screened. <br />PRESERVATION CHECK (pH) 8c RADIOACTIVITY SCREEN <br />SAMPLE R G' Y YG B BG O T P RAD <br /><2 Q < 2 < 2 < 2 < 2 < 2 > 1'Z > 12 µR/hr <br /> ~l <br />2 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />t <br />INTERNAL COMMENTS: ' <br /> <br /> <br /> <br />REPORT COMMENTS: <br />I7tA(QA011.01.97.0+ <br />Q <br />