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FGL Environmental Doc ID: F2REt:�W5.009 Revision Date: 4107104 Page- I of I Santa Paula - Condition Upon Receipt (Attach to OC) • Sample Receipt: I Number of ice chests/packages received Note as OTC if received over the counter unpackaged 2 Were sample received in a chilled condition9 Temps ' Acceptable is above freezing to 60 C Also acceptable is received on ice(ROI) for the same day of sampling or received ar room temperature(RRT) if sampled within one hour of receipt Client contact for temperature failures muse be documented below If many packages arc received at one time check for test 's/rushes Dacti's to ' prioritize further review PIease notify Microbiology personnel urunediately of i sarnpl s received 3 Do the number of bottles received agree with the COCI es No N/A ' 4 Were samples received intact? (i a no broken bottles, leaks etc ) No 5 Were sample custody seals intact? NI Yes No ' Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels Sample Verification, Labeling and Distribution: ' I Were all requested analyses understood and acceptable9 No 2 Did bottle labels correspond with the client's ID's) Yes No ' 3 Were all bottles requiring sample preservation properly presmed9No NIA FGL 4 Were all analyses within holding times at time of receipt? No ie 5 Have rush or project due dates been checked and accepted? N/ Yes No Attach labels to the containers and include a copy of the COC for lab deli ery Sample Receipt, Login and Verification completed by(initials) Discrepancy Documentation: Any items above which are "No"or do not meet specifications (i a temps) must be resolved I Person Contacted Phone Number ' Initiated By- Date Problem ' Resolution 2 Person Contacted Phone Number Initiated By Date ' Problem ' Resolution (3-i-4996) • Ground Ana l ys i s STK053I971 SR'-03/21/20os-14.49 20 liber here