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SeaCrest Group <br />Louisville, CO <br />Project #: -34440 Sample #: <br />Date: i 0 - 71‘ ,. / [ Initials: /29i' <br />Samples Were: 1 %' <br />1. Shipped 7 Wand " Delred Messengered (circle one) <br />Notes: ' <br />3. Chilled to Ship <br />Notes: <br />7. Aeration necessary <br />Notes: <br />Notes: <br />rec'g <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 />Sample Receipt Form <br />8. Sample Received at Temperature between O-6 C . NA <br />9. Description of Sample (Color, Odor, andlor Presence of Particulate Matter): <br />eff: r l- .CFiy/ , E;{Fr:.ygz�.k f t 1 '� — 1 Gx p ` <br />Form # 42 <br />Effective: December 2008 <br />Ambierled (circle one) <br />( Wetice" Blue Ice (circle one) <br />Y ✓ ) NA <br />Y 0_) NA <br />L i ' N <br />Y (N / NA <br />p <br />74`i <br />p <br />LUC <br />p <br />Tem <br />Eff <br />Rec' <br />DO (mg /l) DO (man <br />Custody Seals: <br />1. Present on Outer Package <br />2. Unbroken on Outer Package <br />3. Present on Sample <br />4. Unbroken on Sample <br />Custody Documentation: <br />1. Present Upon Receipt of Sample <br />H <br />Cond <br />Aeration <br />Time DO (m /L) DO ( %Sat) <br />Y 7 N <br />Y <br />Y N (NA) <br />H <br />