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Jan 30 04 04: 04p Pa .or Steve Kihlthau 2r--931 -6109 p. 22 <br /> fZ+:yisiun `L)alx: lU/?1f/fJIJ`. 1'1•t'lx�- 1 uF <br /> L Sfu�ltiz .t;cxlCti:Czzi. al ,o.r 11'e 'eit:;.( .tcfiao:.C:U•f:') <br /> S:rrt.tj�lrt �Cecizipfat,�'l'.[�: :' ',;` : .. : : ,, .' . �. ' .. . : : . .. ,..- . ••. ., : .. <br /> I . l tIrtitiei af}ccchesi (paa}c ges r"ivcd: ::, r> ,; ';:;.' •:.:. : : . :.; . • - <br /> 2. Were samples received'.ia: :i`chiFlyrl'.corliliP. <br /> i. ALCC mbleis:abovcfresrrn t).6';C.. Notcas` t7I' arryypcJonice 'rt h'11in <br /> p g (. ). } 8:was @egun for,sarr�plcs re <br /> same dayof;nmpling. Sampldetrniy'6c,tcecivCd yirh� lt'ega�int 'it' azrip'!c¢rwithiri'o 6ottYof"rreCip'j <br /> 3. Do: agrec,:with't1arErOC2 ?. ,. _ % jYo <br /> ? :Y <br /> 4. Were sainglcsfcceivcd intact? (i:c. no la;1ok.eYi'bo.ttics;xcaS,:9Ct ), : <br /> Were sample custodyscals:intact?-': - /• y. <br /> _ <br /> SYgn••and date thti CO.C,:_plaee iri a iiplotk: td ptizt,ia:the,S'arrie ice ,�he`st as the- I s• ' . <br /> S:unple:I#cceipt:Reviery complcfted liY (initials): <br /> Sample Recpl t at SP.- <br /> ore <br /> P:ere snmplcs received in a CUl,et�3",AT3ditiorr? T'emps:'�/. : . •/ • . . /, / <br /> /`G<e tabic ia'abovc Ireezitiq co;G';'• :i�.If,+fric{ny paekarc :•1re Yeeeivzd at one tin c chock Cor texsn+:T.'c/ruyLlcy <br /> � };iii6Sit�Te SUrrEer te4ieW. plea.•.e nV-2r'ly:}/t��obtU'�oEY Pe+'sol�neL iistmedi�telY of baCti 3emples rueiveri , . baeti'•: <br /> 2.r Do the numbor`,ofbottics rcceivcd;agrca with tho COG7_: <br /> 3. Were'sarrlplesrccaivedintact?'(i.e.'nOlbr'o1Cen bo tiles;lbalcs etc.). <br /> 4: V✓crc:,•.ample autody cealc: izztact?: % (" 'Y21�: • "moo <br /> F <br /> Sigra'aud date the COC, obtain 7.t7yrS:satriple nuzalicss; se1'ect�etliods/tc$ts andprint labels_ <br /> S�• �lr. Ycrltic:ttiou, Labe471P,..':110 Di::t:•ibutaa3s: .'.' <br /> 7. FVere alI'regttestcd analyses uddrrstbcid and mc;c:c�xublc? =Ya) No <br /> hntticlabrls m)Ar :potzC tlz'nc� elirnc'a: TC> cr: No <br /> 3. Were all bottles requiring s rizlplc preseiy tinLz'.properly In osezved? 'Yes No N/ lF< <br /> �{. ••' VVoct'all ;ritaly::c:: Within tlolriirij;, tirnr,,:: ;1t"tiulr: 'o.Ekedcipt7 Yr-s Nci <br /> 5. I3c2ve nosh orprojCct.'due dates be¢xa.cliecleecl arld accaptcd?. N/ Yes;:(' YIYto <br /> At.tac:h.lal,rl:: to 'thr. eouGlinct:arint( iitclutir. uuully t)httu: C �U.ti,i lite tlrlive <br /> :irnplrc R(,ac:ipt, Loan and Vriificakioit .co:rriTilrt' by (ixtittdis): � <br /> Dis6rep1ncy .Documentation;.. . t ✓✓ <br /> Atry ilr:nv: ahrrve wlrir,ii ;ii : ")`fu" or t{iS:urit rrlP6t Byer i f'tu,rtiotts (i.c. trtilp5) tr0.0 t he rr ;;u lvr;tl, <br /> L: !'urs.pc);(_:ctntra:tul; :_t TE _- <br /> Ltirrttr:rl 'f3y -Page8of8 <br /> 1't lrlr lr:u:. <br /> (3--e867) <br /> StocRton Baptist ChtLCl1 <br /> I 'c:;trlut :rur SmK0 -33 -7 -7A C <br /> { � iit/ J <br /> L SB-_2/O3/2ee3-1_:47:J6 <br /> 01/30/2004 FRI 15: 53 [TX/RX NO 82671 2022 <br />