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THE SEACREST GROUP <br /> 325 INTERLOCKEN PARKWAY <br /> SUITE 205 <br /> BROOMFIELD, COLORADO NMI <br /> SAMPLE RECEIPT FORM <br /> Protect Number 39q 39 a <br /> Date/initlele 9/1 VA y go <br /> Samp <br /> A. Sh1p and Delivvered or Messenger <br /> OTES: <br /> 2. Airbili Present Y C NA <br /> NOTES: <br /> 3. Ambient chill (fC--6-34r Blue Ice Temp. + pH <br /> NOTES: <br /> 4. Cooler received Broken/Leaking Y JU) <br /> NOTES: <br /> S. Sample Received Broken/Leaking pmprope4 Sealed) <br /> Y I0 <br /> NOTES: ' <br /> 6. Samples Properly Preserved (chilled to 4°G') N <br /> NOTES: <br /> 7. Received within Holding Times 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 /> COO Record Was: <br /> 1. Present Upon Receipt of Sample N <br />