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- ••,• —. �A1V11-rx�,.iLL <br /> a FGT;,Environmeat,7i � Y �aiOVV <br /> Doc ID: F2R.r'Cf105,Ofl8 <br /> Revfslou Date: 3/$/01 <br /> Page: I of? <br /> Santa Paula - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> Note as OTC if received over the counter=ackagcd. <br /> ?. Were samples received in a chilled condition? Te.n <br /> Acceatatsle is above 11=ing to 6'C. Also actable is reccived on ice(ROI)for to same day ofsaaaaliag or <br /> received at room te=Crature(RRT) if sampled within one hour of receipt. Client cant=far tsnnnerattBz:a:Y,;res <br /> Must be dot utncnred haiow. If malty aackages are received atone rinse check for fumssfS.T.`sh"s Wa3c `s to <br /> prioritize further review. Please notify Microbiolul y personnel imncdiateiy ofbacti samplts recei,:ed. <br /> 3- Do the number of Bottles received ague with tine COC? *'11A <br /> Na NfA <br /> 4. Were samples received intact? (i.z. no broken bottles, lei etc.) No <br /> 5. Were sample custody seals intact? Yes No <br /> Sign and date the COC, obtain LZAS sample numbm, select methodslte=and print labels, f <br /> Sample Verification,Labeling and Distribution: <br /> 1- Were all requested analyses understood and acceptable? .es' No <br /> 2. Did bottle labels=n'mnond with the client's M's? No <br /> 3. Were all bottles requiring - preservation sample properly preserved./ es, Na NIA FGL <br /> 4. Were all analyses within holding times at time of receipt? C J No <br /> S. Have rush or project due dates been checked and accepted? � <br /> � L.� Yes Na <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt,Logia and Verification completed by(initials). <br /> Discrepancy Documentation: — ' -! <br /> f <br /> Any items above which are"No"or do not meet specifications(i.e. temps)must be resolved. <br /> 1- Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> i <br /> 2. Person Contacted: Phone Number <br /> Initiated.By; Date: <br /> Problem: <br /> Resolution: <br /> (3-I0028) <br /> T <br /> 334@34 <br /> I <br />