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/Q~'iZ Laboratories, Inc. ~ • <br />J0400 Downhill Drive <br />Steamboat Springs, CO 80487 <br />Page 2 of 2 <br />~/ / SAMPLE RECEIPT FORM <br />CLIENT: yy,.,.est-~-cam DATE 3~~ <br />PROJECT #: L / ~/~ ANALYST: l~/~,.C_ <br />TEMPERATiTRE VERIFICATION SAMPLE CHECK (°C) <br />CONTAINER TEMP (°C) RAD <br />ID 2° to 6° µR/hr <br /> G e~~ ,~ ~ ~i~ [fcon[ainerradioactivityis <br /> > 2~ µR/hr then each sample <br /> must be screened. <br /> <br />PRESERVATION CHECK (pH) & RADIOACTIVITY SCREEN <br />SAMPLE R G Y YG B BG O T P RAD <br /><2 <? <2 <2 <2 <2 <2 > 12 > 12 µR/hr <br />~ / <br />INTERNAL COMMENTS: <br />REPORT COMMENTS: <br />FRMQA011.01.97.04 <br />