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FGL Environmental Doe ID: F2REC005.008 <br /> Revision Date: 318101 ,,;' Page: 1 of 1 <br /> v <br /> Santa Paula - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt: <br /> 1. Niilalber of ice chests/packages received: <br /> Note as OTC if received over the counter unpackaged. i <br /> ?. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ire (ROI)for the same day of sampling or <br /> received at room teinperat re(RRT) if sampled within one Hour of receipt. Client contact for temperature failures <br /> must be documented below.. If many packages are received at one time check for tests/H.T.'S/rushes/Bacti's to i <br /> prioritize further review. Please notify Microbiology persoane[ inuliediately of;cacti samples received. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received-,intact? (i.e. no broken bottles, leaks f:tc.) es No <br /> 5. Were sample custody seals intact? - /A Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> SampleiVerification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the client's ID's? es" No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No NIA FGL <br /> 1i <br /> 4. Were all analyses within holding tinges at time of receipt? e No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 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 /> d <br /> Discrepancy Documentation: <br /> Any items above which are "No"or do not meet specifications (i.e. temps)roust be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date; <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3=10028) <br /> p Y &gl neer i ng <br /> Srpv@334 ,34 <br /> ,'SB-07/10/2003:12:22 PM <br />