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07-,121,'02 FRI 15:03 FAX 905 5.25 4172 FGL ENVIRCINME1iL Q-101c <br /> FGL Fnviroamentol <br /> plagQ; 1:of 1 <br /> Revision Date. 318.101 <br /> Santa Pa <br /> ula - Condition Upon PeCPipt (Attach to C OC) <br /> Sample Receipt: <br /> bei f ice chestslpack,o.,es ;aceived: <br /> 1. Nunn ocounteimpackaDed. <br /> tiotz as OTC if received Durr the <br /> T <br /> f'r the sa.0 day of sariplin;cr <br /> 2. Were samples received in 60l�illedecoc erttle r�mprd oa�lZOI) <br /> Accegtabic is above tteezin- r �r S �lcd Mth:inone hour:o:recc:pc. Cl;cnt conte't for to c'atu e 1�lwes <br /> recerv:d at room t?_nperanue , � S are Teccived at one time check.for tcots!'.x T•'slrushe5l3act' s to <br /> trust bP cioc unented belo.a. If many package`�icrobiology Pcrso- 'Irl''srvrzdiarely of-acti sa ples tece;vtd. <br /> ptio i:izc further re�•ea. plc2sc noti5 - i No A <br /> 3 Do the number oz bottles received agree with the COC? {, etc. G5 '70 <br /> (�•e. no broken bottles, leaf } Yes <br /> 4. Were samples received intact? N7, <br /> 5. <br /> Were sample custody seals intact2 rix=t labels. <br /> Sags: and date the COC,obtain LNS sample nt;rnbers, select r-ethods/tes s P <br /> Sample Verification, Lubeling and Distribution; <br /> 1, Were all requested analysos understood and acceptable: �o <br /> 2. Did bottle labels correspond with file client's ID's? FGL <br /> z Were all bottles requiring sa_Iple preservation properly Presented" <br /> Yds No <br /> W No <br /> times at t;�e of receipt? ' <br /> 4. Were all analyses wit) in holding J Yes do <br /> c nave nlsis or project due dates been checked and accepted'? �`" <br /> Attach labels to Lhc containers aid include a cop} of tre COC for lab deliver � <br /> co <br /> Sample Receipt, Login and`7BriflCatiOn pleted by (initials): <br /> P <br /> Discrepancy Documentation: ust be resolved• <br /> Glflca•ticrl5(]•e. tC1T.p5� <br /> Vin} it. above whici�are"No" or do not meet spe shone Numb r: <br /> i. Person Contacted'. — Date: <br /> initiated By: <br /> Problem: <br /> �'2501utien: <br /> 1 Fhone Nurr: er' <br /> Person Contacted:---- Datc, <br /> . <br /> Inittated By �-- <br /> Problem: <br /> Resolution: 301 e <br /> Y:eystone Automot:i e Industries Inc. <br /> STK2 3284 <br /> Temp: na I 1 I I <br />