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FGL Environmental Doc ID: F2REC005.008 <br /> Revision Date: 3/8/01 Page: 1 of 1 <br /> Santa Paula - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> Note as OTC if received over the counter unpackaged. <br /> 2. 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 sampling or <br /> received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures <br /> must be documented below. If many packages are received at one time check for tests/H.T.'s/mshesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of hacti samples received. <br /> 3. Do the number of bottles received agree with the COC? e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? /A Yes No <br /> Sign and date the COC, obtain LMS 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 bottle labels correspond with the client's ID's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? es o N/A FGL <br /> 4. Were all analyses within holding times at time of receipt? 4�yes <br /> o <br /> 5. Have rush or project due dates been checked and accepted? No <br /> \ <br /> Attach labels to the containers and include a copy of the COC for lab de' ery. <br /> ,,r) <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 /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 3014825 <br /> Victor Goehin9 <br /> STK235621 <br /> Tetup: 3 1 <br />