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, eaCfest 'Troup <br />Lousulle CO <br />"7 <br />Project* �j \ 1 849 '3 .'b <br />Date: 10050 <br />` <br />Sam les Were' <br />.Shipped ' Hand Delivered Messengered (circle one) <br />Notes: <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 />Eff <br />Rec' <br />rec'g <br />Tem <br />DO (mg/l) DO (Sat) <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 />Sample Receipt Form <br />H <br />Cond <br />Y <br />Y N <br />Y �- <br />Y N <br />Custody Documentation. <br />1. Present Upon Receipt of Sample Y ; N <br />Sample # 3 <br />Initials. C-- <br />Y <br />) <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: <br />N <br />Aeration <br />Time DO (mg /l) DO ('hsat) <br />OM' $ 42 <br />F :ffective t'e 2008 <br />Ambient iQhilled (circle one) <br />Blue Ice (circle one) <br />NA <br />Y C N Th NA <br />Y- NA <br />6 NA <br />9 <br />p <br />p <br />p <br />H <br />