Laserfiche WebLink
SAMPLE RECEIPT CLIENT: C011 •�AIcAY-- OEC ID#: a' �1� Temp: ° C <br /> P R`: <br /> :1cm I�iblc12:ur t 01('to Ci°(' <br /> COC RECEIVED RECEIPT LOGIN <br /> DATE/TIME: J4- /S-13 Oq`/'S DATE/TIME: ® rS//� `� 20 REFRIGERATOR(s): <br /> SAMPLE TRANSPORT,RECEIPT,CONDITION& PRESERVATION: Yes No N/A (*)PROBLEM CHAIN FORM NEEDED <br /> ❑OEC Courier/Saunhler COC document(s)received xtiith samples ,� ❑'' ❑ C:'t.t:�t�}tl� �til:,(�rlclt;r: 1'tcs4nt; ,i~ errt <br /> Azelivery(Olher than 0EC Courier) Correct containers for analysis requested ❑I: ❑ sample:,r Coolcrs <br /> ❑ Samples Received on lee Container(s)intact and in food condition 1LI ❑* ❑ intact/Brokvii'` <br /> ❑ Samples Received Outside'l-emp.Range* Container]abel(s)consistent with COC � ❑* ❑ Method ol'Shipment&'I rachin,�m`(il':,phlie;I7la): <br /> ❑ Samples Direct h-om field(Outside Tentp) OEC presen•ative added ("note std 1D) ❑;` ❑ 5d T-7e.,G,tU X FO1S 252-0 31f5•3 <br /> ❑ After-i-IourS Outside Dl'0I)-0J`t'j Brought Inside] Proper preservation on sample label(s) ❑ ❑ ( "F i OEC Preservative 1D. <br /> (Initials/Datefi•inie): VOA containers tree of headspace ❑ ❑l Dissolved Metals I lltration:is):ur IniI.I4t.o L I0; <br /> I'ecllar B s free of.condensation ❑ ❑`` fg <br /> CONTAINERS, COC CHANGES AND/OR CORRECTIONS CHANGES AUTHORIZED BY: <br /> OEC ID Client ID 'If blank,refer to CoC Container Description Preservative ResCI Matrix Date/Time Comments/Remarks/ <br /> / H <br /> Sampled Condition Notes,Etc, <br /> RECEIPT LOGIN BY: RECEIPT REVIEWED BY: L; .01, <br />