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LID, F RECO05.0iP <br /> n <br /> -T)Ft.te, !0123107 F age'. I Of I <br /> 'Ck-.Oi candfd6r Upon Recelpt Crku' ch to C00 <br /> Sample Reeeipik at STK, <br /> I. Nu3rsber of ice cfiest&lpackages reicelved- <br /> 2. Were samples received in a chilled condition? Ternp5: _j <br /> Acceptable is above freezing to 6c C. Also acceptable is received on ice(ROI)for Ow same clay of sampling or <br /> received at room temperatme(Rpro if sampled within one hour of rectipl. Client Contfict for temperature failures <br /> rant be documented below, if many packages are received at one time chock for tests/H.T.'s/rushes/Bacti's to <br /> prioritize jbAher review. Pica--t notify Microbiology personijel immediately of bacii samples received- <br /> I Do the number of bottles received agree with the COC? 'des No NIA <br /> 4. Were samples received intact? O,e- no broken bottles, leaks etc.) Y No <br /> 5. Were sample custody seals intact? N/A Y(-,s No <br /> S i gn and date the COC, place in a ziplock and put in the same ice chest as the Samples, <br /> Sample Receipt Review completed,by(initials): <br /> -Sample Receipt at SP: <br /> Were samples received in a chilled condition? Temps: 61 <br /> Acceptable is above freezing to 6°C. if many packages are received at one time check for tests/H.T,'s/rushes/Bacti's to <br /> prioritize further review. Please notify Microbiology pr:rsonnei immediately of bacii gum 5 d. <br /> 2. Do the-number of bottles received agree with the COC? .7!6� <br /> k,-1—�s-V No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye No <br /> 4. Were sample custody seals intact? NJ Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select rriethods/tests and print labels. <br /> SHMP]e Verification, Labeling and Distribution: <br /> I- Were all requested analyses understood and acceptable? No <br /> 2, Did bottle labels correspond with the client's B)'8? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 4. VOAs checked for Headspare? Yes No Q1 IDA <br /> 5. Were all analyses within holding times at tirne,of receipt? Ye No <br /> 6, Have rush or project due dales been checked and accepted? /A 'es No <br /> A Itach labels to the corivainers and include a copy of the COC for lab del;v <br /> Sample Receipt, Login and Vetificallon completed by (initials): <br /> Discrepancy I)ocumentation, <br /> C) 0;. tj 1_ -073E (''C <br /> '01 <br /> 1�.) b <br /> AtrY items ah-�Niet w],,jcj-, reser]` ee <br /> ('031 acleo: Phone <br /> (3-9574) <br /> Nei!, kniderson UP Assocliales <br /> STK0751909 <br /> IV-1-2/13/2007-I-3:32:46 <br />