Laserfiche WebLink
CLIENT: (.lf t/ 1 �G �(� <br />WORK ORDER: 1 7 TEMPERATURE: <br />7.1 °C <br />SAMPLE RECEIPT <br />COC RECEIVED �DATEIIttAE:�� ��' s �'y� <br />A<xeplahle Rage: M to 6°C (see exception notes be_ <br />,! <br />LOGIN DAtFJiME: REFRIGERATOR(S): <br />r <br />SAMPLE TRANSPORT SAMPLE RECEIPT, CONDITION, PRESERVATION P) PROBLEM CHAIN REQUIRE© YES NO NIA (") DEC PRIES. ID <br />• OEC Courier/Sampler ❑ Samples Received on Ice Within Temperature Range (Acceptable) Completed COC(s) Received With Samples r!f 13- <br />.❑ Delivery (Other than OEC)` e m Correct Containers)/Preserve for Analysis 4f Lls ❑ <br />• <br />LJ After -Hours Outside Drop -0S (Brought imide) - 1 r1 7� Container(s) Intact and in Good Condition .e 13- ❑ <br />Inkiais/Date/1-ime: ❑ Ambient: Air or Filter Matrix Container Label(s) Consistent with COC 13- ❑ <br />MAIipment Carrier.�/,yLf'1 ❑ Received Ambient, Placed on ice for Transport OEC Preservation Added " ❑ ❑ <br />Tracking #: 771-;$ -2 ( / (!p 12 0 ❑ Sample Temperature Acceptable for Analysis Requested Sample Quantity Sufficient & Appropriate ❑ • ❑ <br />CUSTODY SEALS None Present Samples Received Outside Temperature Range [Exceptbn) ° VOA Containers Free of Headspace ❑ ❑ v gr m See cy W.W a <br />Cooler(s): ❑ Present, Intact ❑ Present, Not Intact ❑ None X Insufficient Ice or Unknown Cause Tedlar Bag(s) Free of Condensation ❑ ❑ v 0 <br />Sample(s): ❑ Present, Intact ❑ Present, Not Intact ❑ None ❑ Excessive Free Liquid in Sample Bags or Cooler ❑ * OR ❑ 4,�—t.t Expedited PM Notification (Inil/DateMa e): <br />CONTAINERS, COC CHANGES, AND/OR CORRECTIONS <br />CONTAINID <br />CONTAINER DESCRIPTION <br />PRESERVATIVE CfCHECKoeS: <br />PH <br />MATRIX <br />COMMENTS <br />INITIALS <br />/ <br />1--8 C <br />!— liz 6�s r,4Y? C?4- <br />RECEIPT LOGIN BY: �� RECEIPT REVIEWED BY: ��%`�" I 1396 k of <br />n <br />