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FGL Environmental <br /> Revision Date: 10/20/00 Doc ID: F3REC005.00] <br /> Page: J.of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is ove freezing to 6°C. Note as AOI(arrived on ice).if chilling was begun for samples received on <br /> same day of sampling. <br /> 3. Do the numb,-r of bottles received agree with the COC? JN o <br /> N/A <br /> 4. Were sample received intact? (i.e. no broken bottles, leaks etc.) o <br /> 5. Were sample custody seals intact? <br /> s No <br /> Sign and date the COC,place in a ziplock and put in'the same ice chest as. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at P: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing6° <br /> to C. If many packages are received at one time check for tests/H.T.'s/rushesMacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. <br /> . 2. Do the number of bottles received agree with the COC? SN/A. <br /> No <br /> N/A <br /> 3. Were samples received intact? (i.e. no broker!bottles, leaks etc.) No <br /> 4. Were sample c Itody seals intact? Yes No . <br /> Sign and date the COQ, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all request:!d analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? e No <br /> 3. Were.all bottles i equiring sample preservation properly preserved?5-e <br /> No <br /> N/ FGL <br /> 4. Were all analyse within holding times at time of receipt? 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 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 /> Initiated By: Date: <br /> Problem: <br /> 3012628 <br /> Resolution: Keystone Automotive Industries Inc. <br /> STK233070 <br /> Temp:--61 I <br />