Транспортный протокол ввоза на территорию российской федерации и вывоза с территории российской федерации

Транспортный протокол ввоза на территорию Российской Федерации и вывоза с территории Российской Федерации биопроб, взятых из организма спортсмена и (или) из организма животного для проведения допинг-контроля

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Приложение N 2

к Положению о ввозе на территорию

Российской Федерации, вывозе

с территории Российской Федерации

и перевозке по территории Российской

Федерации проб и оборудования

в рамках проведения допинг-контроля

ТРАНСПОРТНЫЙ ПРОТОКОЛ



                                                                                                                N

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¦         CHAIN OF CUSTODY FORM         ¦                                 ¦           TEST AUTHORISED BY - ТЕСТ САНКЦИОНИРОВАН        ¦

¦         ТРАНСПОРТНЫЙ ПРОТОКОЛ         ¦                                 ¦                                                           ¦

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                                                                        ¦ AUTHORISED COLLECTION AGENCY - УПОЛНОМОЧЕННАЯ ОРГАНИЗАЦИЯ ¦

1. СЕССИЯ ДОПИНГ КОНТРОЛЯ/DOPING CONTROL SESSION                        -------------------------------------------------------------

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¦              ------------------------------------------ ВНЕСОРЕВНОВАТЕЛЬНОЕ  СОРЕВНОВАТЕЛЬНОЕ   N ПРИКАЗА                           ¦

¦ФАМИЛИЯ ИДК/  ¦                                        ¦ ТЕСТИРОВАНИЕ    ---  ТЕСТИРОВАНИЕ   --- TEST SESSION     --T-T-T-T-T-T-T-T-¬¦

¦DCO NAME      ¦                                        ¦ ВСК/OUT OF      ¦ ¦  IN COMPETITION ¦ ¦ CODE             ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦

¦              ------------------------------------------ COMPETITION     ---                 ---                  L-+-+-+-+-+-+-+-+--¦

¦                                                                                                                                     ¦

¦МЕСТО         ----------------------------------------------------------------- --------------------                    --T-¬  --T-¬ ¦

¦ПРОВЕДЕНИЯ/   ¦                      ¦¦МЕРОПРИЯТИЕ/EVENT                      ¦ ¦НОМЕР/NUMBER      ¦  КОЛ-ВО ОБРАЗЦОВ/  ¦ ¦ ¦  ¦ ¦ ¦ ¦

¦TEST LOCATION ¦                      ¦¦                                       ¦ ¦                  ¦  NUMBER OF SAMPLES L-+--  L-+-- ¦

¦              ----------------------------------------------------------------- --------------------                    МОЧА/  КРОВЬ/¦

¦                                                                                                                        URINE  BLOOD ¦

¦              ------------------------------------------              --T-¬   --T-¬   --T-T-T-¬                             --T-T-T-¬¦

¦СПОРТ/SPORT   ¦                                        ¦    ДАТА/DATE ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦     ВРЕМЯ ОКОНЧАНИЯ         ¦ ¦ : ¦ ¦¦

¦              ¦                                        ¦              L-+--   L-+--   L-+-+-+--     ОТБОРА БИОПРОБ/         L-+-+-+--¦

¦              ------------------------------------------             ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY     TIME SESSION COMPLETED           ¦

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2. КОД БИОПРОБ/SAMPLE ID

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¦    --------T-------T-------T----                     --------T-------T-------T----                     --------T-------T-------T----¦

¦A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦¦

¦    ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----¦

¦    --------T-------T-------T----                     --------T-------T-------T----                     --------T-------T-------T----¦

¦A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦¦

¦    ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----¦

¦    --------T-------T-------T----                     --------T-------T-------T----                     --------T-------T-------T----¦

¦A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦¦

¦    ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----¦

¦    --------T-------T-------T----                     --------T-------T-------T----                     --------T-------T-------T----¦

¦A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦¦

¦    ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----¦

¦    --------T-------T-------T----                     --------T-------T-------T----                     --------T-------T-------T----¦

¦A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦                 A/B ¦   ¦   ¦   ¦   ¦   ¦   ¦   ¦¦

¦    ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----                     ----+---+---+---+---+---+----¦

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3. ТРАНСПОРТИРОВКА И ХРАНЕНИЕ/TRANSPORATION AND STORAGE

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¦МЕСТО-            ------------------------------------------------ МЕСТО-          --------------------------------------------------¦

¦ПОЛОЖЕНИЯ         ¦                                              ¦ ПОЛОЖЕНИЯ       ¦                                                ¦¦

¦БИОПРОБ (ОТКУДА)/ ¦                                              ¦ БИОПРОБ (КУДА)/ ¦                                                ¦¦

¦FROM (LOCATION)   ------------------------------------------------ TO (LOCATION)   --------------------------------------------------¦

¦                                                                                                                                     ¦

¦            --T-¬   --T-¬   --T-T-T-¬                    --T-T-T-¬ ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬¦

¦  ДАТА/DATE ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦         ВРЕМЯ/TIME ¦ ¦ : ¦ ¦ ПОСТУПЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ПОСТУПЛЕНИЯ/   ¦ ¦ : ¦ ¦¦

¦            L-+--   L-+--   L-+-+-+--                    L-+-+-+-- ARRIVAL DATE    L-+--   L-+--   L-+-+-+-- ARRIVAL TIME   L-+-+-+--¦

¦           ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                                             ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                         ¦

¦                                                                                                                                     ¦

¦                                                                   ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬¦

¦                                                                   ОТПРАВЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ОТПРАВЛЕНИЯ/   ¦ ¦ : ¦ ¦¦

¦                                                                   DEPARTURE DATE  L-+--   L-+--   L-+-+-+-- DEPARTURE TIME L-+-+-+--¦

¦                                                                                  ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                         ¦

¦                                                                                                                                     ¦

¦                  ------------------------------------------------                   ------------------------------------------------¦

¦  ПОДПИСЬ ИДК/    ¦                                              ¦     ПОДПИСЬ ИДК/  ¦                                              ¦¦

¦  DCO SIGNATURE   ¦                                              ¦     DCO SIGNATURE ¦                                              ¦¦

¦                  ------------------------------------------------                   ------------------------------------------------¦

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¦  МЕСТО-          ------------------------------------------------ МЕСТО-          --------------------------------------------------¦

¦  ПОЛОЖЕНИЯ       ¦                                              ¦ ПОЛОЖЕНИЯ       ¦                                                ¦¦

¦  БИОПРОБ (КУДА)/ ¦                                              ¦ БИОПРОБ (КУДА)/ ¦                                                ¦¦

¦  TO (LOCATION)   ------------------------------------------------ TO (LOCATION)   --------------------------------------------------¦

¦                                                                                                                                     ¦

¦ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬ ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬¦

¦ПОСТУПЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ПОСТУПЛЕНИЯ/   ¦ ¦ : ¦ ¦ ПОСТУПЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ПОСТУПЛЕНИЯ/   ¦ ¦ : ¦ ¦¦

¦ARRIVAL DATE    L-+--   L-+--   L-+-+-+-- ARRIVAL TIME   L-+-+-+-- ARRIVAL DATE    L-+--   L-+--   L-+-+-+-- ARRIVAL TIME   L-+-+-+--¦

¦               ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                                        ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                          ¦

¦                                                                                                                                     ¦

¦ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬ ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬¦

¦ОТПРАВЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ОТПРАВЛЕНИЯ/   ¦ ¦ : ¦ ¦ ОТПРАВЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ОТПРАВЛЕНИЯ/   ¦ ¦ : ¦ ¦¦

¦DEPARTURE DATE  L-+--   L-+--   L-+-+-+-- DEPARTURE TIME L-+-+-+-- DEPARTURE DATE  L-+--   L-+--   L-+-+-+-- DEPARTURE TIME L-+-+-+--¦

¦               ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                                         ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                         ¦

¦                                                                                                                                     ¦

¦                  ------------------------------------------------                   ------------------------------------------------¦

¦  ПОДПИСЬ ИДК/    ¦                                              ¦     ПОДПИСЬ ИДК/  ¦                                              ¦¦

¦  DCO SIGNATURE   ¦                                              ¦     DCO SIGNATURE ¦                                              ¦¦

¦                  ------------------------------------------------                   ------------------------------------------------¦

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¦  МЕСТО-          ------------------------------------------------ МЕСТО-          --------------------------------------------------¦

¦  ПОЛОЖЕНИЯ       ¦                                              ¦ ПОЛОЖЕНИЯ       ¦                                                ¦¦

¦  БИОПРОБ (КУДА)/ ¦                                              ¦ БИОПРОБ (КУДА)/ ¦                                                ¦¦

¦  TO (LOCATION)   ------------------------------------------------ TO (LOCATION)   --------------------------------------------------¦

¦                                                                                                                                     ¦

¦ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬ ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬¦

¦ПОСТУПЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ПОСТУПЛЕНИЯ/   ¦ ¦ : ¦ ¦ ПОСТУПЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ПОСТУПЛЕНИЯ/   ¦ ¦ : ¦ ¦¦

¦ARRIVAL DATE    L-+--   L-+--   L-+-+-+-- ARRIVAL TIME   L-+-+-+-- ARRIVAL DATE    L-+--   L-+--   L-+-+-+-- ARRIVAL TIME   L-+-+-+--¦

¦               ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                                        ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                          ¦

¦                                                                                                                                     ¦

¦ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬ ДАТА            --T-¬   --T-¬   --T-T-T-¬ ВРЕМЯ          --T-T-T-¬¦

¦ОТПРАВЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ОТПРАВЛЕНИЯ/   ¦ ¦ : ¦ ¦ ОТПРАВЛЕНИЯ/    ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦ ОТПРАВЛЕНИЯ/   ¦ ¦ : ¦ ¦¦

¦DEPARTURE DATE  L-+--   L-+--   L-+-+-+-- DEPARTURE TIME L-+-+-+-- DEPARTURE DATE  L-+--   L-+--   L-+-+-+-- DEPARTURE TIME L-+-+-+--¦

¦               ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                                         ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                         ¦

¦                                                                                                                                     ¦

¦                  ------------------------------------------------                   ------------------------------------------------¦

¦  ПОДПИСЬ ИДК/    ¦                                              ¦     ПОДПИСЬ ИДК/  ¦                                              ¦¦

¦  DCO SIGNATURE   ¦                                              ¦     DCO SIGNATURE ¦                                              ¦¦

¦                  ------------------------------------------------                   ------------------------------------------------¦

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4. ПЕРЕДАЧА БИОПРОБ ИДК В ЛАБОРАТОРИЮ, КУРЬЕРУ ИЛИ ДР./DCO TRANSFER TO LABORATORY, COURIER OR OTHER

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¦                -----------------------------------------------------             --T-¬   --T-¬   --T-T-T-¬                 --T-T-T-¬¦

¦ФАМИЛИЯ ИДК/    ¦                                                   ¦   ДАТА/DATE ¦ ¦ ¦   ¦ ¦ ¦   ¦ ¦ ¦ ¦ ¦   ВРЕМЯ/        ¦ ¦ : ¦ ¦¦

¦DCO NAME        ¦                                                   ¦             L-+--   L-+--   L-+-+-+--   DROP OFF TIME L-+-+-+--¦

¦                -----------------------------------------------------            ДЕНЬ/DD МЕСЯЦ/MM  ГОД/YYYY                          ¦

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¦ЕСЛИ ДОСТАВЛЕНЫ В ЛАБОРАТОРИЮ/IF TRANSFERRED TO LABORATORY                                                                           ¦

¦              -------------------------------           -----------------------------------           -------------------------------¦

¦ФАМИЛИЯ/      ¦                             ¦ ДОЛЖНОСТЬ/¦                                 ¦ ПОДПИСЬ/  ¦                             ¦¦

¦LAB. REP. NAME¦                             ¦ LAB. REP. ¦                                 ¦ SIGNATURE ¦                             ¦¦

¦              ------------------------------- POSITION  -----------------------------------           -------------------------------¦

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¦ЕСЛИ ДОСТАВЛЕНЫ КУРЬЕРУ/IF TRANSFERRED TO COURIER                                                                                    ¦

¦НАЗВАНИЕ      -------------------------------                    --------------------------           -------------------------------¦

¦КОМПАНИИ/     ¦                             ¦ НОМЕР ТРАНСПОРТНОЙ ¦                        ¦ ПОДПИСЬ/  ¦                             ¦¦

¦COMPANY       ¦                             ¦ НАКЛАДНОЙ/         ¦                        ¦ SIGNATURE ¦                             ¦¦

¦NAME          ------------------------------- WAYBILL NUMBER     --------------------------           -------------------------------¦

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¦ЕСЛИ ДОСТАВЛЕНЫ ДР./IF TRANSFERRED TO OTHER                                                                                          ¦

¦              -------------------------------           -----------------------------------           -------------------------------¦

¦ФАМИЛИЯ/      ¦                             ¦ ДОЛЖНОСТЬ/¦                                 ¦ ПОДПИСЬ/  ¦                             ¦¦

¦OTHER NAME    ¦                             ¦ OTHER     ¦                                 ¦ SIGNATURE ¦                             ¦¦

¦              ------------------------------- POSITION  -----------------------------------           -------------------------------¦

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- ADO - WHITE         COPY 1 - LABORATORY - GREEN             COPY 2 - AUTHORISED COLLECTION AGENCY - BLUE

ОРИГИНАЛ - АДО - БЕЛЫЙ         КОПИЯ 1 - ЛАБОРАТОРИЯ - ЗЕЛЕНЫЙ         КОПИЯ 2 - УПОЛНОМОЧЕННАЯ ОРГАНИЗАЦИЯ - СИНИЙ   ВЕРСИЯ 21:03-2009