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Pff t-13- 3 11;39 CPLSCIENCE ENVIRONMEKTAL 714 094 7501 P.0; <br /> r - <br /> VYow omm a 03-FPI E aFel 0 ff d <br /> Cooler of �.. <br /> SAMPLE RECEIPT FORM <br /> CLIENT: _ DATE: / d <br /> TEMPERATURE—SMPLES RECEIVED RY.- <br /> CALSCIENCE COUM91t LA130MATORY(Othw than Calw1ence Coil rla): <br /> Chilled.cooler with hotperatum blank prwWed. _ ®C Ternpardurs blank. <br /> ChM,cooler without tsmpesature blank. °C IR thermdmMer. <br /> Chftd and placed In cooter with wet W. � Am!stent Wnp&uWm. <br /> Ambaot MW ply in woler wilh wet Eta <br /> °G Tend blanIL lam' <br /> CUSTODY SEAL INTACT: <br /> Si a) <br /> Carl= No(KM l =AppH (WAY <br /> �rn'lrai: <br /> SAMPLE CONDITION: <br /> Yes No WA <br /> Cham-Of-Guslo docu nmyl(s)received we samples. .. .. ....... ..... <br /> Semple oontslner mss)ca stat wah custody papers..... ... . . . ....... ....,. <br /> Sample contalner(s)Mad end good condltbn ... . ... .. . .. ..... <br /> Correct oontakwo for analyses requested ... .., .... <br /> Proper pmu radon noted an sample mss) .. ...... ;.. ... <br /> VOA vlal(a)free of headspece ... .... ..... . .... �„ .... <br /> Tedler bag(s)free of condensation. . . . .... .- 1z <br /> Initial: <br /> COMMENTS: <br />