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AC2,~~nnn~;a. Ine. <br />)000 Downhill Drive <br />Smu~oat Spiny, C0 60!87 <br />2 <br />SAMPLE RECEIPT FORM <br />:LIENT: ~^tiQ <br />~ROIECra: L(9~Y~/ <br />DATE ~, ~ ~ <br />ANALYST: <br />TEMPERATURE VERIFICATION SAMPLE CHECK (°C) <br />CONTAINER TEMP (°C) RAD <br />ID 2• to 6• µ1U1++ <br />~ 3, If container radioactiviry is <br />S !3 > 2S µRlhr then each sample <br />must be screcned. <br />PRESERVATION CHECK (pH) & RADIOACTIVITY SCREEN <br />SAMPLE R G Y YG B BG 0 T P RAD <br />~ ~ <2 <2 <2 <2 <2 > 12 > 12 µR/hr <br /> r, <br />L <br /> <br /> <br />i <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />i INTERNAL COI~LMENTS: <br />2EPORT COMMENTS: '~ <br />FRMQA011.01.97 01 <br />