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AMPLE RECEIPT CLIENT: G51-1 � OEC ID#: J2-ca��s� Temp: � � c <br /> asr otnsno _ Acceptable Range: 0°C to 66C <br /> COC RECEIVED / RECEIPT LOGIN <br /> DATE/rIME: L 1 Z 1 Z- 1 Klln DATE/TIME: REFRIGERATOR(s): CAe Se_, <br /> SAMPLE TRANSPORT,RECEIPT, CONDITION& PRESERVATION: Yes No N/A (*)PROBLEM CIWN FORM NEEDED <br /> ❑OEC Courier/Sampler COC document(s)received with samples ❑* ❑ Custody Seals(circle): Present 1 bsent <br /> 0 Delivery(Other than OEC Courier) Correct containers for analysis requested ❑* ❑ Samples 1 Coolers <br /> ❑Samples Received on Ice Container(s)intact and in good co ❑* ❑ Intact/broken* <br /> ❑Samples Received Outside Temp.Range* Container labels)consistent with {( ,N* El Method of Shipment&Tracking#(tfappficabte): <br /> ❑Samples Direct from field(Outside Temp) OEC preservative added (�*note std ID) 1]** ❑ P 8 j -74.9 <br /> q <br /> ❑After-liours Outside Drop-off[Brought Inside] Proper preservation on sample label(s) ❑ ❑ (**)OEC.Preservative ID. <br /> (Initials/Datc/Time): VOA containers free of headspace <br /> El Dissolved Metals Filtration:matennit/l'reu;rve lt)) <br /> Tedlar Bas free of condensation ❑ ❑* <br /> CONTAINERS,COC CHANGES AND/OR CORRECTIONS CHANGES AUTHORIZED BY: <br /> OEC ID Client ID***If blank,referto CoC Container Description Preservative ResCl Matrix Date/rime Comments/Remarks 1 <br /> 1 lI Sampled*** Condition Notes Etc. <br /> A Ile- <br /> RECEIPT LOGIN BY: RECEIPT REVIEWED BY: J Page I of <br />