Laserfiche WebLink
SeaCrest Group <br />Louisville, lle, CO <br />Project #: '? 6 ;, e <br />Date: ` 'a 1 <br />Sa Were: <br />1 hipp \ Hand Delivered Messengered (circle one) <br />�I�tes: <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 O-6 C . <br />Notes: <br />9. Description of Sample (Color, Odor, and /or Presence of Particulate Matter): <br />eff: c " % y i /0 0 'tv, <br />rec'g <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 />Sample Receipt Form <br />Y 4 <br />Y <br />_ <br />Y N C <br />N <br />Sample #: 2_ <br />Initials: 1/4' (' <br />Y <br />Ambient hilted •., (circle one) <br />Wet Ice , Blue Ice (circle one) <br />Y N NA <br />N <br />Aeration <br />DO (m. /1_) DO ( %sat) <br />Farm 4 42 <br />Effective: December 2008 <br />NA <br />NA <br />NA <br />