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- - - - -.. - Doc ID:F2F C005.008 <br /> ( �. <br /> FGL Euviranmental page: 1 of 1 <br /> Revision Date:318101 <br /> Sant Paula- Condition jjpon R.eceipt(Attaeh to COC} <br /> Sample Recelpt: <br /> 1 Number of ice ch stslpackages received: <br /> Note as OTC if cerci cd over the counter unpackagedry 1 1 1 1 f <br /> Were samples reel ived in a chilled condition. Temps —�- or <br /> 2 tie failures <br /> Acceptable is above rcezinz to C. sastrrf kd within one hottr of ecetptR Client nt ontacfor the tnforr to ofe day sampling <br /> received at room to G1at"re t ackag�are sereivcd at one time check for tests/N•T•"drusheLlBacti's to <br /> must be documented below_ If many F les received_ <br /> sonnei irrdt►ediately of`�act,same <br /> prioritize funbcr 1evicw. 'ltese notify MirrobiolvgY p� r, <br /> est No NIA <br /> Do the number o <br /> 3, bottles receivedC? <br /> agree with the CCes No <br /> cl Were samples r4eived intact? (i.e, no broken bottles,leaks etc) Yes No <br /> 5, Rrere sample cuody seals intact? , <br /> Sign <br /> and date the COC, obtain LIMS sampla numbers,select methodsltests and print labels. <br /> Sample Verification,I Labeling and Distribution: <br /> 1 Were all reques ed analyses understood and acceprable? es No <br /> 2. Did bottle label correspond with`'he client's ID's? FGL <br /> reservation properly preserved? Yes No <br /> 3. Were all bottles requiring samplep No <br /> 4. Were all analys s within holding times at time of receipt? <br /> Yes No <br /> 5, Have rush or p jest due dates been checked and accepted? VeN. <br /> Attach labels to the stainers anal include a copy of the COC for lab deli <br /> t on con completed by(initials): <br /> Sample Receipt,Lo it and ettfica u P <br /> piserepancy Docut entation: specifications (i.e.temps)must be resolved. <br /> Any items above wl�uch are"No" of do not meet sp Phone jlwnber: <br /> i. Person Contaced: D ; <br /> Initiated By: <br /> Problem: <br /> Rcsolutiou: <br /> Phone Nuir',ber: <br /> 2. Person CosTted: Dater!__,-- <br /> lxti:iated By. <br /> Problem. <br /> Resolution: 302628 <br /> Keystone Automotive Industries Inc- <br /> STK233284 <br /> Tong: na I I I I I 1 1 <br />