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0b /2512006 18:00 FAX 8055254172 FGL ENVIRONMENTAL la 010/010 <br /> I r _ <br /> 0 <br /> FGL Environmental Doe ID: F2REC045.009 <br /> Revision Date: 4107104 Page: 1 of 1 <br /> Santa Paula - Condition Upon Receipt (Attach to COG) <br /> Sample Receipt: 1 <br /> F 1_ Number of ice chests/packages received: <br /> Note as OTC if received over the counter unpackaged. <br /> 2. Were samples received in a chilled condition? Temps: _ <br /> Acceptable is above freezing to d°C. Also acceptable is received on ice(ROl)for me the saday of sampling or <br /> received at room temperature(RRT)if sampled within ane hour of receipt. Client contact for temperature failures <br /> �,. mw be documented below. If many packages are received at one time check for tests1H.T-Vrushes/Bacti`s to <br /> 4 prioritize further review. Please notify Microbiology personnel inunediately of bacti samples received. <br /> 3. Do the number of bottles received agree with the COC? e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> S. Were sample custody seals intact? Yes No <br /> iSign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels_ <br /> Sample Verification,Labeling and Distribution: <br /> L Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the clients ID's? No <br /> 3. Were all bottles requiring sample preservation-properly preserved? INo N/A FGL <br /> 4_ Were all analyses within holding times at time of receipt? No <br /> F5. 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): C. <br /> � 1 Discrepancy Documentation: <br /> Any items above which are"No" or do not meet specifications(i.e.temps) must be resolved. <br /> Fl. Person Contacted: Phone Number: <br /> Initiated By: .!_ -- Tate: <br /> P Problem: <br /> 11 <br /> Resolution: <br /> l ' <br /> 2. Person Contacted: Phone Number: <br /> E � Initiated By: Date: <br /> i Problem: <br /> Resolution: �3-9574) <br /> Neil Anderson & associates <br /> STKO636771 <br /> IV_08/09/2O06—o8:41:23 <br />