CORRESPONDENCE_2006-2015 - Laserfiche WebLink

Home Browse Search

miental 1. 11 .. I 0 r Date: 07Page: I of Santa Paula - Condition Upon Receipt (Attach to COC) Sample Receipt: 1. Ntunber of ice chests/packages received: Note as CTC if received over the counter unpackaged. 2. Were samples received in a chilled condition? Temps:° Acceptable is above freezing to 6° C. Also is received on ice (ROI) for the same day of sampling or received at room temperature (RRT) if sampled within one hour of receipt. Client contact for temperaftre failures must be docuunented below, if many packages are received at one time check for tests/H.T.'s/rushes/Bacti's to prioritize fiuther review. Please notify Microbiology persozuiel irumediately of bacti samples received. 3. Do the number of bottles received agree with the COC? es No N/A. 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) etes No 5. Were sample custody seals intact? /A 'Yes No Sign and date the COC, obtain LTMS sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution. 1. Were all requested analyses understood and acceptable? O-S) No Did bottle labels correspond with the client's DD's? es. No 3. Were all bottles requiring sample preservation properlypres-erved? Yes No N/ FGL 4. Were all analyses within holding times at time of receipt? No 5. Have ruish or project due dates been checked and accepted? / Yes No Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt, Login and Verification completed by (initials): CICU Discrepancy Documentation: Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. I. _ Person Contacted: Phone Number: Laitiated Py:_____-____ Date: Problem: Resolution: 2. Person Contacted: Initiated 3y: Problem: Resolution: Phone Number: Date: (3-13071) SKS • rprisesI- IV-02/0"x/2007—" 0:47 :1.6