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07/24/03 THU I1.36 F.AX 805�i 41 i <br /> � FGL EWIRONHF;VTL �009 <br /> FGL Environmental Doe ID: FIREC005.008 <br /> may-- Revision Date: 3/8101 Page: 1 of I <br /> Santa Paula - Condition Upon Receipt (Attach to COC} <br /> ' Sample Receipt: <br /> I. Number of ice chests/packages received: <br /> r-� Note as OTC if received over the couater'.mpackaged. <br /> 1 <br /> 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 sa=lting or <br /> received at room temperamre(RRT) if sampled within one hour of receipt. CIient contact far temnerattue failures <br /> nntst be documented below. If many packages are received at one time check for tests/H.T.'shwhes/Sacti's to <br /> prioritize further review. Please notify Microbiology personnel irtvnediatelr of bacti samples received. <br /> r- 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, lead etc.) es' No <br /> 5. Were sample custody seals intact? lA Yes No <br /> E <br /> Sign and date the COC, obtain LTMS sample numbers, select mrthods/tests and print labels. <br /> Sample Verification,Labeling and Distribntion: <br /> 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 /> 3. Were all bottles requiring sample preservation properly preserved?, ,s No NIA FGL <br /> 4. Were all analyses within holding times at time of receipt? No <br /> Have rush or project due dates been checked and accepted? � yes No <br /> Attach labels to the contain= and include a copy of the COC for lab delivery. <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 /> F. 2. Person Contacted: Phone Number: <br /> Initiated By Date: <br /> F.; <br /> Problem: <br /> Resolution: <br /> (3-2p0�8 j <br /> �il1OII <br /> �� ��In�rilff <br /> S frTe0334 034 <br /> S8-07/10/2003:12-22 Pff <br />