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THE SEACREST GROUP <br /> 325 INTERLOCKEN PARKWAY <br /> SUITE 205 <br /> BROOMFIELD, COLORADO 80021 <br /> SAMPLE RECEIPT FORM <br /> Proleot Number_ 3�` ,75 a <br /> DeteAniftle I�io /9y e,-3 <br /> Same _ re: <br /> . Stdpodot Hand Delivered or Messenger <br /> 8• <br /> 2 Airbill Present Y (IL) NA <br /> NOTES: <br /> * Ambient chill jam' Blue loe Temp. pH <br /> �K 7.3 4.1 <br /> NOTES: <br /> 4. Cooler received Broken/Leaking Y <br /> NOTES: <br /> 5. Sample Received Broken/Leaking (Improperly Sealed) <br /> Y CD <br /> NOTES: = ' <br /> S. Samples Prop" Preserved (chilled to 4°C) a N <br /> NOTES: <br /> 7. Received within Holding Times LY.�) N <br /> NOTES: <br /> COC Tape Was: <br /> 1. Present on Outer Package Y <br /> 2. Unbroken on Outer Package Y N <br /> 3. Present on Sample Y <br /> 4. Unbroken on Sample Y N <br /> COC Record Was: <br /> I. Present Upon Recelpt of Sample Dy N <br />