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SunStar � , <br /> tl� 20y,.,s. <br /> %01 Laboratories <br /> SAMPLE RECEIVING REVIEW SHEET <br /> Batch/Work Order#: T181190 <br /> Client Name: Gribi Associates Project: Country Market Place <br /> Delivered by: ❑ Client ❑ SunStar Courier [N GSO ❑ FedEx ❑ Other <br /> If Courier, Received by: Date/Time Courier <br /> Received: <br /> Lab Received by: Dan Date/Time LabReceived: 4-7-18 9:12 <br /> Total number of coolers received: 1 <br /> Temperature: Cooler#l 3.2 °C +/-the CF(-0.2°C) = 3.0 °C corrected temperature <br /> Temperature: Cooler#2 °C +/-the CF(-0.2°C) = °C corrected temperature <br /> Temperature. Cooler#3 °C +/-the CIF(-0.2°C) = °C corrected temperature <br /> Temperature criteria=5 6°C Within criteria? ®Yes [—]No <br /> no frozen containers <br /> If NO: <br /> Samples received on ice? ❑Yes []No 4 <br /> Complete Non-Conformance Sheet <br /> If on ice, samples received same day ❑No 4 <br /> collected? ❑Yes Acceptable Complete Non-Conformance Sheet <br /> Custody seals intact on cooler/sample 4Yes ❑No* ❑NIA <br /> Sample containers intact ®Yes ❑No* <br /> Sample labels match Chain of Custody IDs [ Yes ❑No* <br /> Total number of containers received match COG ®Yes ❑No* <br /> Proper containers received for analyses requested on COC ®Yes ❑No* <br /> Proper preservative indicated on COC/containers for analyses requested ❑Yes []No* ON/A <br /> Complete shipment received in good condition with correct temperatures, <br /> containers, labels,volumes preservatives and within method specified © yes ❑1110* <br /> holding times <br /> *Complete Non-Conformance Receiving Sheet if checked Cooler/Sample Review- Initials and date: -�-1� <br /> Comments: <br /> Page 1 of 1 <br />