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' FGL Environmental Doc ID F2RECoo5 slog <br /> Revision Date: 4/07/04 Page: I of 1 <br />' Santa Paula - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt: <br />' 1 Number of ice chests/packages received 1 <br /> Notc as OTC if received over the counter unpackaged <br /> 2 Were samples received in a chilled condition3 Temps <br />' Acceptable is above freezing to VC Also acceptable is received on ice(ROI) for the same day of sampling or <br /> received at room temperature(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 tinx check for tesis/ni T W ushes/Bacti's to <br />' prioritize further review Please notify Microbiology personnel immediately of bac Ics received <br /> 3 Do the number of bottles received agree with the COC9 No N/A <br /> 4 Were samples received intact , <br />' p {i a no broken bottles leaks etc } No <br /> 5 Were sample custody seals intact? / Yes No <br />' Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels <br /> Sample Verification, Labeling and Distribution- <br />' I Were all requested analyses understood and acceptable? No <br /> 2 Did bottle labels correspond with the client's ID's? Yes No <br />' 3 Were all bottles requiring sample preservation properly preserved? e No NI FGL <br /> 4 Were all analyses within holding times at time of receipt? No <br /> 5 Have rush or project due dates been checked and accepted? NIA Yes No <br /> Attach labels to the containers and include a copy of the COC for lab deliv <br /> Sample Receipt, Login and Verification completed by(initials) <br /> Discrepancy Documentation: <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 /> 1 Initiated By Date <br /> Problem. <br />' Resolution <br /> 2 Person Contacted <br /> Phone Number <br /> Initiated By Date <br /> Problem <br /> Resolution <br /> (3-24996) <br /> Ground Zero Analysis <br /> � <br /> STK®531967 <br /> SRP-03/21/2005-14.36 46 <br /> ben here <br />