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i <br /> �'�' 1tUC3RK ORDER M 04 <br /> Caviler, of 1 <br /> SAMPLE RECEIPT F0_ RM <br /> CIJENT. aADAMCG404 <br /> TEMPERATURE —SAMPLES,RECEIVED BY: <br /> CALSCIENCE COURIER: LA130RATORY(Other Jkhan,Cal scl+ence Courier): <br /> Chilled,cooler with temperature blank,prowded °CTetnperature biaratc <br /> Chilled,c+ooler`Mthout tem ature bl <br /> Chilled and placed`in cooler w44 We Ice, Arnbl�nft�iliparature. <br /> _A 4ient and placed In cooler with r et lce. <br /> Arnblent temperature. <br /> *C Ternporature blank, Jnitfal. r(�. <br /> CiJSTCDY-SEALJNTACT: - - - - <br /> Sample(#� Coglei`: No,(Not lnta6t). Not A <br /> ,— ppltc~abie(WAY: <br /> i 1 <br /> SAMPLE CONDMON: - - <br /> Yes No WA <br /> dorumentts) ;r hied €ih a�rtptes <br /> Sample container label(s)consistent tulip cuslotypapeCs <br /> =Sam pl6tonfacne(s)intacta6dgood canditibn ~ - -,... . - <br /> ., .... <br /> Correct rantalners for analyses requ"Od, <br /> - -Prhperrpreservatlon noted on sample label(q) - <br /> VOA vial(s)tree of he6dsya 3ce.. .. ... _. . . ._. > <br /> Tedlar b4(s)free,of'condansatlon . -- <br /> " " • ... •.r.r4./� <br /> COMMENTS: <br /> • <br />