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The Sea C~esl Group Sample Receipt Form Form #: 42 <br />Louisvine. CO EHeclive: January 2003 <br />Project #: ' _~ <br />Date: ~l <br />Samples Were: <br />1. Shipped <br />Notes: <br />2. Airbill Present <br />Notes: <br />3. Chilled to Ship <br />Notes: <br />G~1 `- <br />Hand Del <br />4. Aeration necessary <br />Notes: <br />5. Cooler Received Broken or Leaking <br />Notes: <br />6. Sample Received Broken or Leaking <br />Notes: <br />7. Sample Properly Preserved <br />Notes: <br />8. Received Within Holding Times <br />Notes: <br />Messengered <br />-~-~_~ <br />Sample #: <br />Initials: ~ ~ <br />(circle one) <br />N NA <br />t;----, <br />i' <br />Ambien Chilled ~ cle one) <br />Ice Blue Ice (circle one) <br />Y ~N NA <br />Y ~ NA <br />Y ~ NA <br />Y ~ NA <br />Y 1 N <br />9. Description of Sample (Color, Odor, and/or Pretence of Particulate/latter): <br />eff: ~ ~z ~'Z 6`' o Gc(~,,t -{'~ ~.~- ~ ,~~ kr c. ~ ~rt~ t~ ;,.~ a . <br />r <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 />1. Present Upon Receipt of Sample ~ N <br /> DO Tem H CI <br />Eff -°r , 1 L, , ~ . ~ <br />Rec' <br />NA <br />Time ~ DO I pH <br />0 <br />a <br />