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SAMPLE. RECEIVING: REVIEW SHEET <br />Batch/Work Order #: <br />Client Name: Project: <br />Delivered by: 0 Client. ❑ Sun.Star Courier ® GSO ❑ FedEx ❑ Other <br />If Courier, Received by: Date/Time Courier <br />Received: <br />Lab Received 6y: Date/Time Lab . <br />Received: X! <br />.Total number of coolers received: <br />Temperature: Cooler #1 Ar. ' °C;+/- the. CF (- 0.2°C) ? 6 °C corrected temperature <br />Temperature: Cooler #2 °C+/ -.the CF (- 0.2°C) ._ °C corrected temperature <br />Temperature: Cooler #3 °C+/- the CF (- 0.2°C) _ °C corrected temperature. <br />Temperature criteria = <_.6°C Within criteria? <br />no frozen containers ®Yes -]No <br />If NO: <br />Samples received on ice? [-]Yes❑No -i <br />Complete Non -Conformance Sheet <br />If on ice, samples received same day.❑❑No 4 <br />collected? Yes Acceptable Com lete Non -Conformance Sheet <br />7k <br />Custody seals intact on;cooler/sample <br />©Yes <br />❑No* ❑N/A. <br />Sample containers intact <br />©Yes <br />❑No* . <br />Sample labels match Chain of Custody IDs <br />®Yes <br />[]No* <br />Total number of containers received match COC <br />®Yes <br />❑No* <br />Proper containers received for analyses requested c <br />n COC <br />®Yes <br />❑No* <br />Proper preservative indicated on COC/containers for <br />an lyses requested <br />❑Yes <br />❑No* ®N/A <br />Complete shipment received in good condition wi <br />containers, labels, volumes preservatives; and withi <br />.correct temperatures, <br />i meth:)d specified <br />❑k Yes <br />❑No* <br />holding times <br />* Complete Non -Conformance Receiving Sheet if checked <br />Cooler/Sample Review - Initials and date: <br />Comments: <br />Page I of i <br />absxoin E 257.12,Conimerce <br />