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Crest 1 . tip <br />f owisvdle CO <br />Project #: ( I (%`_'9 • $ Sample #- <br />Date. i e E, 11 Initials <br />Samples Were: <br />'1 Shipped ' Hand Delivered Messengered (circle one) <br />Notes: <br />3. Chilled to Shi Ambient( Chilled (circle one) <br />Notes: <br />Wet Ice Blue Ice (circle one) <br />4. Cooler Received Broken or Leaking Y N NA <br />Notes: <br />5. Sample Received Broken or Leaking NA <br />Notes: <br />6. Received Within Holding Times <br />Notes: <br />7. Aeration necessary Y ` NA <br />Notes: <br />8. Sample Received at Temperature between 0-6 Y N NA <br />Notes: <br />9. Description of Sample (Color, Odor, and /or Presence of Particulate Matter): <br />eff: r v u (' 1,1 <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 <br />Y <br />Y <br />Y <br />N <br />Y <br />.-NA <br />ruiit' $ 42 <br />E ffe Per amber 2008 <br />