Laserfiche WebLink
C <br /> , APLE RECEIPT CLIENT:t"r+i.. ct� oEc m #: 1 zo r `7 Temp:: <br /> Rev 01l75/111 Acceptable Range: O*C to VC <br /> COC RECEIVED RECEIPT LOGIN <br /> DATE/TIME: VIY111- /6 2- a7 DATE/TIME: 3/,Y/®2- 1"715 REFRIGERATOR(s): CooCec <br /> SAMPLE TRANSPORT,RECEIPT,CONDITION&PRESERVATION: Yes No N/A (*)PROBLEM CHAIN FORM NEEDED <br /> ❑OEC Courier/Sampler COC documents)received with samples J9 ❑* ❑ Custody Seals(circle): Present bscnt <br /> ,9Delivery(Other than OEC Courier) Correct containers for analysis requested ❑* ❑ Samples/Coolers <br /> OSamples Received on Ice Container(s)intact and in good condition ❑ 5d* ❑ Intact.'Broken* <br /> ❑Samples Received Outside Temp.Range* Container label(s)consistent with COC Cl* ❑ Method of Shipment&Tracking#(trappircama <br /> ❑Samples Direct from field(Outside Temp) OEC preservative added (**note std 1D) El**** 11a FebGT,�8983 -7(p'50 "S✓ <br /> ❑After-Flours Outside Drop-off[Brought Inside] Proper preservation on sample label(s) ❑ ❑ 19 (")OEC Preservative ID: <br /> (Initials/Date/Time): VOA containers free of headspace ❑ 0* Dissolved Metals Filtration:(rr,,icJtn,tn'reseret ID) <br /> Tedlar Bas free of condensation ❑ d. <br /> CONTAINERS,COC CHANGES AND/OR CORRECTIONS CHANGES AUTHORIZED BY: <br /> OEC ID Client ID'Irhlank,refer toCoC Container Description Preservative Res Cl Matrix DatelTinie Comments I Remarks f <br /> N /P It Sampled Condition Notes,Etc. <br /> 3 -7-toA. f- IIPo� Qt-A —' Seth <br /> - <br /> 61-53 Rp A __....__._ l-l l� z G t., % EA <br /> tib S14 t- itao�. GA- - ✓ --- - - <br /> 11�34 5SPr t'Soz LEFss _-Er1•._ ^- �- <br /> /-8o z 6?1—Afs s _ <br /> 2 Ill 2t 54 I— PLA4TIc. aA& �r~t f�6ct:ivtE' f3,2o/CcN <br /> RECEIPT LOGIN BY: L, RECEIPT REVIEWED BY: Nage l or Z-. <br />