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A FGL Environmental Doc TD: F2REC005.008 <br /> 'Revision Date: 318101 Page: 1 of 1 <br /> i� <br /> Santa Paula - Condition Upon Receipt (Attach to COC) <br /> SampleReceipt: <br /> 1. Number of ice chests/packages received: <br /> Note as OTC if received over the counter unpackaged. <br /> a <br /> 2. Were samples received.in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. AIso 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 i <br /> must be documented below. If many packages are received at one time check for tests/H.T.'shusheslBacti's to <br /> prioritize further review. Please notify Microbiology personnel inunediately of hacti samples received. <br /> 3. Deo the number of bottles received agred with the COC? No NIA <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 0 <br /> 5. Were sample custody seals intact? /A Yes No <br /> I � <br /> Sign an�d date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? es , No <br /> 2. Did battle labels correspond with the client's ID's? es% No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No NIA FGL <br /> 4. Were all analyses within holding times at time of receipt? e No <br /> II <br /> 5. Have rush or project due dates been checked and accepted? � Yes Na ; <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login and Verification completed by(initials): <br /> Discrepanev Documentation: <br /> Any items above which are "No" or do not meet specifications (i.e. temps)must be resolved. <br /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> I� <br /> 2. Person Contacted: Phone Number: <br /> lriitiated By: Date: <br /> Problem: <br /> Resolution: (3=10028 <br /> Ji <br /> Di I Ion & Mur <br /> Y &glneering <br /> STKe334 034 <br /> `SB`07/10/2003:12:22 pM <br /> ii <br /> II <br />