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w < AL <br />SeaCrest Group <br />Louisville, CO <br />Sample Receipt Form <br />Project* 2c-( <br />Date: 7f / <br />SamplesV- ere: <br />1. Owed) Hand Delivered Messengered <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 />8. Sample Received at Temperature between 0-6'C <br />. <br />Notes: <br />Form *: 42 <br />Effective: December 2008 <br />Sample #:- <br />Initials: <br />(circle one) <br />Ambient Chia (circle one) <br />et' Blue Ice (circle one) <br />Y NA <br />Y NA <br />CY N <br />Y N NA <br />9 N NA <br />9. Description of Sample (Color, Odor, and/or Presence of Particulate Matter): <br />eff: '? of ter 4 'r POP-/ <br />rec'g <br />uustoay Seals: <br />1. Present on Outer Package Y E- <br />2. Unbroken on Outer Package Y N <br />3. Present on Sample Y? <br />4. Unbroken on Sample Y N r <br />Custody Documentation: <br />1. Present Upon Receipt of Sample N