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Doc ID: F2RECO05.009 <br /> J FGL Environmental Page: 1 of.1 <br /> Revision Date: 4107/04 <br /> ` Santa Paula - Condition Upon Receipt (Attach to COC} <br /> Sample Receipt: <br /> l s 1. Number of ice chests/packages received: ---�— <br />+ Note as OTC if received over the counter unpackaged, 6� <br /> / 1 1 <br /> ?. Were samples received in a chilled condition? Temps: / the same day of sampling Or <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice (ROI) for <br /> ontact for temperature failures <br /> received at room temperature(RRT) if mages are rwitece�ed at one ne hour oftimer-he k for testVH.T.'shushesBacti's to <br /> k must be documented below. If many p <br /> E prioritize further review. Please notify Microbiology personnel immediately of No <br /> received. <br /> No NIA <br /> 3. Do the number of bottles received agree with the COC? <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br /> No <br /> {� <br /> 05. Were sample custody seals intact? <br /> N/. Yes No <br /> Si and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> it Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the client's ID's? NO <br /> Na <br /> l Lllrin <br /> sample reservation properly preserved? -Yes No N/ FGL <br /> 3. Were all bottles req S p P <br /> 4. Were all analyses within holdilzg tunes at time of receipt? No <br /> 5. Have rush or project due dates been checked and accepted? NI Yes No <br /> a Attach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login and Verification completed by(initials <br /> 4 Discrepancy Documentation: <br /> Any items above which are"No" or do not meet specifications ((ii.ee. temps) <br /> must be resolved. <br /> l. Person Contacted: Date: <br /> initiated By: <br /> Problem: <br /> # <br /> Resolution: <br /> k ?. <br /> Phone Number: <br /> Person Contacted: <br /> Date: <br /> Initiated By: <br /> k Problem: <br /> Resolution: <br /> veil I�nd�� an & Associates <br /> STK <br /> 0639835 <br /> YV-11/14/2006-12:53:12 <br /> k + <br />