Laserfiche WebLink
The SeaCrest Group Sample Receipt Form Fom, #: a2 <br />~oulsville, CO Effective: November 2003 <br />Project #: ~ (o - CJ ~g <br />Date: O IaD~L~ <br />Samples Were: ~~ <br />1. Shipped Hand Delivered essengered~ <br />Notes: <br />Sample #: _ <br />Initials: - (~y - <br />(circle one) <br />2. Airbill Present <br />Notes: <br />3. Chilled to Ship <br />Notes: <br />4. Cooler Received Broken or Leaking <br />Notes: <br />5. Sample Received Broken or Leaking <br />Notes: <br />6. Received Within Holding Times <br />Notes: <br />7. Aeration necessary <br />Notes: <br />N NA <br />Y <br />Ambient hilted (circle one) <br />Ice Blue Ice (circle one) <br />Y ~ NA <br />Y ~ NA <br />8. Sample Received at Temperature between 0-6° C . <br />Notes: <br />Y N <br />Y ~ NA <br />N NA <br />9. Description of Sample (Color, Odor, and/or Presence o Particul to Matter): <br />eff: ho ocQc~; bro~vri'„-, ~.olov- ~ ex-h'P~rle~ -~hP ~M ~"~' cQou~ <br />rec'g a <br /> Cond DO Tem H CI <br />Eff 3 H0 ~.I ND <br />Rec' <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 />Time ~ DO ~ PH_ <br />0 <br />a <br />NA <br />