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a <br />FGL Environmenta! Doc IU: F2REC005.011 <br />kavisionDate: 10118/07 faire: 1 ori <br />Santa Pauka - Condition Upon Receipt (Attach to COQ <br />Sample Receipt: <br />1. Number of ice chests/packages received: <br />Note as OTC if received over tate counter unpackaged. <br />2, Were samples received in a chilled condition^ Temps: <br />Aceeprabk is 2` to 6° C. Also acceptable is received an ice fROtj for the same duy of sarrtpitng nr receives at room <br />temperature (PaT) if sampled within one hour of rccetnt. Client contact for terttperarwit fai'iures must b,- <br />documented <br />:documented below. if many packages are received at ane time check for tests/H,T.'sirushes/Bacti's to pnarictzc <br />further review. Please notify Microbiologypersonnel immediately afbacti sarttples received. <br />3. Do the number of battles received asree with the COC? es No NIA <br />4. Wert samples received intact' (i.e. no broken bottles, teaks etc.) e No <br />5. Were sample custody seals intact? d1 Yes No <br />Sion and date the CO-', obtain LDAS samnit nurrlb:r�— sriect methodslttsts and pnn; labels <br />Sample V erificattiun.. Labehnv. and Distrinuiioa: <br />i Wetc A rcpue tci' anais'se_, understoo4: an; acceptabi '' Nc <br />vic: oottit lab::is cjrr�sD nd %--ith Int: Jie!w'.; L, .. 1'%' <br />Were all hnt!Ics requinn«sampic nre:,crvatiGTt prC]iaerl.,, prese,ved' `,'Y., ]sic, FCL <br />4. VIDAs checkeC for h adspace'.' 3'ee No d1h <br />V er, all artsiysee wit iiri t•oldim, l.trtl,s at um,; til receip# e lit <br />c,. Have tush or proiecl (rue dates been -,necked and accepltd" 1,' '4'e: 1wt <br />.attach labels io tilt containers and include a co,ov of the COC ro- lah deiiypry. <br />S arnnie K=eipa. Lagir} and "verification corrivieted by (inivai-i <br />Discrepancy IlascuME-'r.t.:ttlur <br />Any item,-, aboIT. iv.riit,'tl art- ")V'C' o. do not meet spec;f caUC7nS t 1.E. !"Inns'] I11US1 t)z-esolved <br />t'r ob icm <br />f�e>ai utior:. <br />lni iated Ely: <br />Frob i err.' <br />Kest i uti4n: <br />Rhane Numbtr. . <br />Date <br />(3-13047) <br />GeoAnalytical Laboratories, Inc, <br />STKO850978 <br />IV -10/28/2003-13:39:07 <br />