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FGL,EnvironMClttal Doc ID- F211EC005.009 Revision Date: 4/07/04 Page: I of 1 ' Santa Paula - Condition Upon Receipt (Attach to COC) Sample Receipt; I Number of ice chests/packages received Note as OTC if received over the counter unpackaged ' 2 Were samples received in a chilled condition? Temps Acceptable is above freezing to 6°C Also acceptable is received on ice (R01) 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 pme check for tesis/li T 's/rushcs/Bacti's to prioritize further review Please notify Microbiology personnel immediately of ba in plcs 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 ) Y No ' 5 Were sample custody seals intact" N/ Yes No Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels ' Sample Verification, Labeling and Distribution. 1 Were all requested analyses understood and acceptable? Y No 2 Did bottle labels correspond with the client's ID's9 Yes No 1 3 Were all bottles requiring sample preservation properly preserved? No N/ FGL lie 4 Were all analyses within holding times at time of receipt? s No 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 dell Sample Receipt, Login and Venfication 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. Phone Number ' Initiated By: Date Problem ' Resolution 2 Person Contacted Phone Number Initiated By- Harp Problem (3-14996) ' Resolution Ground Zero Analysis STK053196G SRP-03/21/2005-14 35.34 ' Attach label with lab number here