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' FGL Environmental Doc ID•• F2RECpaS .,09 Revision Date: 4!47104 Page: iof t ' Santa Paula - Condition Upon Receipt (Attach to OC) Sample Receipt. ' 1 Number of ice chests/packages received Notc as OTC if received over the counter unpackaged 2 Were samplcs received in a chilled condition? Temps I ! I I ' Acceptable is above freezing to 6'C Also acceptable is received on ice (ROE) for the same day of sampling or received at room temperature(RRT) if sampled within one hour of receipt Client contact for temperature failures must be documented below If many packages are received at one tirrie check for testslH T 's/rushcs/Bacti's to ' prioritize further review Please notify Microbiology personnel immediately of bac es received 3 Do the number of bottles received agree with the COC No N/A ' 4 Were samples received intact? (i a no broken bottles, leaks etc ) No 5 Were sample custody seals intact? N/ Yes No ' Sign and date the COC, obtain LIMS sample numbers, select methods/tests and pnnt labels Sample Verification, Labeling and Distribution. ' 1 Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's ID's? Yes No ' 3 Were all bottles requiring sample preservation properly preserved? Ye No N/ FGL 4 Were all analyses within holding times at time of receipt? YNo 5 Have rush or project due dates been checked and accepted? /N/A Yes No Attach labels to the containers and include a copy of the COC for lab deity 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 1 Person Contacted Initiated By Phone Number ' Date Problem ' Resolution 2 Person Contacted Phone Number Initiated By Date I Problem t3- 4996) ResoIutton Ground zero p�a�ysis Sr2y.,.0531970 Sgp-03/21/2005-14.40.02 Attach label with lab number here