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PGL Environmental - -- - - <br /> Revision Date:7/2/03 Doe ID:F2RECOO5.008 <br /> Page: 1 of i <br /> v Santa Paula - Condition on Receipt(Attach to COC) <br /> Sample Receipt: <br /> L Number of ice chests/packages received: <br /> Note as OTC if received over the counter unpackaged. <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day of sampling or <br /> received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures <br /> must be documented below. If many packages are received at one time check for tests/H.T.'s/zushesBacti''s to <br /> Prioritize further review. Please notify Microbiology personnel immediately of bacti les received. <br /> 3. Do the number of bottles received agree with the COC? es' No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles,leaks etc.) No <br /> 5. Were sample custody seals intact? A Yes No <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/t d print labels. <br /> Sample Verification,Labeling and Distribution: <br /> L Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? 05 <br /> e No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No / FGL <br /> 4. Were all analyses within holding Ys cling tunes at time of receipt? No <br /> 5. Have rush or project due dates been checked and accepted? / Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delive <br /> Sample Receipt,Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are"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 /> (3-14510) <br /> Sierra Organics Co. <br /> STK@335002 <br /> LMC-0$/14/2003:07:27 PM <br />