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FGL Environmental Doc ID: F2REC005.008 <br /> Revision Date: 3/8/01 Page: 1 of 1 <br /> Santa aula - Condition Upon Receipt-(Attach to COC) <br /> Sample Receipt: <br /> 1. Number of ice ches s/packages received: <br /> Note as OTC if receive over the counter unpackaged. <br /> 2. Were samples recei ed in a chilled condition? Temps: <br /> Acceptable is above fre zing to 6°C. Also acceptable is received on ice(ROI) for the same day of sampling or <br /> received at room tempe ture(RRT) if sampled within one hour of receipt. Client contact for temperature failures <br /> must be documented bel w. If many packages are received at one time check for tests/H.T.'s/rushesBacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of cacti samples received. <br /> 3. Do the number of b ttles received agree with the COC? ; cs No N/A <br /> 4. Were samples recei ed intact? (i.e. no broken bottles, leaks etc.) es .� No <br /> 5. Were sample custod seals intact? ) Yes No <br /> Sign and date the COC, o tain LEAS sample numbers, select methods/tesz print labels. <br /> Sample Verification, La eling and Distribution: <br /> 1. Were all requested clyses understood and acceptable? es No <br /> 2. Did bottle labels cor espond with the client's ID's? es No <br /> 3. Were all bottles req iring sample preservation properly preserved? Yes No <�FGL <br /> 4. Were all analyses w' hin holding times at time of receipt? No <br /> 5. Have rush or project due dates been checked and accepted? T/ Yes Yes No <br /> Attach labels to the contai ers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login an Verification completed by(initials): (::?11J// <br /> Discrepancy Documenta ion: <br /> Any items above which ar "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 /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 3012628 <br /> Keystone Automotive Industries Inc. <br /> STK233284 <br /> Temp: na <br />