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THE SEACREST GROUP <br /> 325 INTERLOCKEN PARKWAY <br /> SUITE 205 <br /> BROOMFIELD, COLORADO SMI <br /> SAMPLE RECEIPT FORM <br /> Project Number 39y390 <br /> Date/inidale 9/22 f 9= <br /> 8 pips W re: <br /> 1. 8h1p Hand Delivered or Messenger <br /> 8• <br /> 2. Airbill Present Y N NA <br /> NOTES: <br /> 3. Ambient 0(� <br /> it e or Blue Ice Temp. pH <br /> NOTES: '" 3-yz 141 �`SS 5.1 C, 9.2 <br /> 4. Cooler received Broken/leaking Y 1� <br /> NOTES: <br /> 6. Sample Received Broken/Leaking (Improperly Sealed) <br /> Y <br /> NOTES: <br /> S. Samples Properly Preserved (chilled to VC) N <br /> NOTES: <br /> 7. Received within Holding Times Y 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 /> 1• Present Upon Receipt of Sample N <br />