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0 C <br /> SAMPLE RECEIPT CLIENT: COAR-0- CtV— OE ID Temp: <br /> Rev OW5/10 Acceptable Range: 0°C to 6°C <br /> COC RECEIVED RECEIPT LOGIN <br /> DATE/TIME: - DATE/TIME: 00 REFRIGERA'TOR(s): <br /> SAMSAMPLE TRANSPORT,RECEIPT,CONDITION&PRESERVATION: yes No N/A PROBLEM CHAIN FORM NEEDED <br /> 0 DECourier/Sampler COC document(s)received with samples Custody Seals i circle): Present/�� <br /> or <br /> e <br /> P <br /> C <br /> liv <br /> L <br /> C <br /> e <br /> E <br /> 0' <br /> elivery(Other than OEC Courier) Correct containers for analysis requested 10 ot El Samples Coolers <br /> Samples Received on Ice Container(s)intact and in good condition 0 Intact/13roken* <br /> p I s <br /> s <br /> 0 Samples Received Outside Temp.Range* Container label(s)consistent with COC 0 Method of Shipment&Tracking fl(if ipplicawc)- <br /> S <br /> t Samples <br /> C, <br /> 0 m <br /> Samples Direct from field(Outside Temp) OEC preservative added ("note std ID) 1�6D6pp&03 L(ViZ 5177 <br /> After-Hours <br /> -*)OF <br /> .0 Outside Drop-off[Brought Inside] Proper preservation on sample label(s) El 0 C Preservative ID. <br /> itialsi at <br /> [(initials/Date/Time): VOA containers free of headspacc 1:1 E1* Dissolved Metals Filtration:muvinivllreservc 11)) <br /> Tedlar B!Bs free of condensation 0 0* <br /> CONTAINERS,COC CHANGES 4 N;1 OR CORRECTIONS CHANGES AUTHORIZED BY: <br /> OEC ID Client ID***If blank,refer toCoC Container Description Preservative ResCl Matrix Date/Time Comments/Rernarks <br /> 1W. <br /> 1-All <br /> RECEIPT LOGIN BY: RECEIPT REVIEWED BY: Page--or <br />