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? 1. <br />SeaCrest Group Sample Receipt Form <br />Louisville, CO <br />Project #: `_? y-) I i.?S <br />Date: `2 v <br />Samples Were: <br />1. Shipped `Hand Delivery d Messengered <br />Notes: <br />3. Chilled to Ship <br />Notes: <br />Ambient Ted (circle one) <br />Wet-Ice Blue Ice (circle one) <br />t <br />4. Cooler Received Broken or Leaking Y N i NA <br />Notes: <br />5. Sample Received Broken or Leaking Y N---) NA <br />Notes: <br />6. Received Within Holding Times Y N <br />Notes: ?-- <br />7. Aeration necessary Y / N) NA <br />Notes: <br />8. Sample Received at Temperature between 0-60 C . Y N NA <br />Notes: ? C- m ?. e C I e? c?? _ c cx <br />9. Description of Sample (Color, Odor, and/or Presence of Particulate Matter): <br />eff: C l,oc1(c?SS, oA(-- \C?2,S) No F-M <br />rec'g <br />Aeration <br />Temp DO m n_) DO %sat H Cond Time DO (malt.) DO (%Sat) H <br />Eff <br />Rec' <br />Custody Seals: <br />1. Present on Outer Package Y <br />2. Unbroken on Outer Package Y N <br />3. Present on Sample Y ND <br />4. Unbroken on Sample Y N CNA) <br />Custody Documentation: <br />1. Present Upon Receipt of Sample Y N <br />Form*: 42 <br />Effective: December 2008 <br />Sample #: <br />Initials: ?i <br />(circle one)