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I ' 07/24/03 TSU 11:36 F_4% 805/";"�i 4172 FGL EWIRONMENTL E f 008 <br /> Doc M: FZREC00S.008 <br /> FGL Eavironmentni <br /> Revision Date: 318!81 Page: 1 of 1 <br /> Santa Paula Condition on Receipt Attach to COQ <br /> - �tion Up p <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> Note as OTC if received over the counter tmpackaged. <br /> ?. Were samples received in a chided condition? Temps: f 1 1 ! <br /> + Acceptable is above freezing to 6'C. Also acceptable is received on ice(ROI)for the same day of sampling or <br /> r received at room temperance(RR7 if sampled within one hour of receipt. Client contact fen temperature faiiurca <br /> I ' nv=be docluncuted below. If many packages are received at one time check for teswH.T.'s/nuhesrSacd's to <br /> prioritize further review. Please notify Microbiology personnel immtdiately of.cacti samples received. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> . 4 Were samples received intact? (i.e. no broken bottles,leaks etc.) es No <br /> 5. Were sample custody seals intact? )A Yes No <br /> ' Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribation: <br /> E # 1. Were all requested analyses understood and acceptable? es` No <br /> 2. Did bottle labels correspond with the client's ID's? es No <br /> 4 ,r 3. Were all bottles requiring sample preservation properly preserved?C� No NIA FGL <br /> r^. 4. Were all analyses within holding times at time of receipt. a No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> r, Attach labels to the container; and include a copy of the COC for lab delivery. <br /> 4 . 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) trust be resolved. <br /> l_ Penon Contacted: Phone Number: <br /> Initiated By: Date: <br /> { Problem: <br /> l':eSolLit101]: <br /> 2. Person Contacted: <br /> Phone Number. <br /> Initiated By: Date: <br /> 4 Problem: <br /> Resolution: (3-10028 <br /> Dillon i gUrphY -tIQIIIri <br /> S r ' 0334 034 <br /> /z0/2@03:12:22 Pf <br /> r _ - <br />