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rfFiR-28.2803 10,.Sl p.I' <br /> lb <br /> •�� nn <br /> WORK ORDER 0. 03 3❑ � ® ® ® L� <br /> Cooler , Of <br /> �a SAMPLE RECEIPT PORAL <br /> CLIENT° r'.i <br /> DAM V D ' <br /> A11 <br /> TEMPERATURE—8MIPLES RECEIVED BY: <br /> CALSCIENCE COURIER: dABORATOW(Othw than tears Cour": <br /> ^.e.r.a..�Chilled,coobr wah tlenperature b1w*pnmd&W- °C TempemUrs blank_ <br /> Cried,cooler wWuM temp waium blank. °C IR ttmrmomeder. <br /> C`.hEW and paced In cooler wth wet roe. Ambient twnperatum <br /> Ambwnt and paced M cooler with Yvet k=. <br /> Amt temperature. <br /> C TwVweMre tai. Initl�! U <br /> CUST®DY BEAL INTACT: <br /> Cacbr :� Ro(M Intm#): Not AW=bb(WA): <br /> SAMPLE CONDITION: <br /> Yes No NIA <br /> C:huh-Of-Custody documenge)reeved with sampies.... .,..... .... <br /> Sample contWnsr label(s)consiftrot wNh cuetody pWers .. ... ... .,. .... ....... <br /> Sample contelner(s)int srld good condMon. <br /> Convict contafeere for anslysae rquested.. ...... <br /> ROW pmservatkm noted on sample hftl(s).. . �" .. .. . .. <br /> vvA�(s)rrse of t►eadepace. ~'^ <br /> Tedlar bag(s)tree of oaxensallon . .... .. .. ... ... <br /> COMMENTS: <br /> E <br /> s <br />