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' FGL Environmental Doc ID. F2REC005 009 Revision Date: 4107/04 Page. I of I ' Santa Paula - Condition Upon Receipt (Attach to COC) . Samp[e Receipt 1 ' t Number of ice chests/packages received Note as OTC if received over the counter unpackaged 2 Were samples received to a chilled condition9 Temps ' Acceptable is above freezing to 6° C Also acceptable is received on ice(ROI) for the sarnc day of sampling or received at room kmperarure(RRT) if sampled within one hour of receipt Client contact for temperature failures must be documented below If many packages are received at one time check for to 'slrushes(13act I's to ' prioritize further review Please notify Microbiology personnel immediately of b ii sampl s received 3 Do the number of bottles received agree with the COC? No N/A ' 4 Were samples received intact? (t a no broken bottles, leaks etc ) No 5 Were sample custody seals intact? N/A Yes No ' Sign and date the COC, obtain LMS 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's`) Yes No ' 3 Were all bottles requiring sample preservation properly preserved? Yes No N/ FGL 4 Were all analyses within holding times at time of receipt? Ye 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 deli Sample Receipt, Login and Verification completed by(initials) 71 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 (3-14996) Resolution Ground Zero Analysis STK053I972 SRP-03/21/2005-14:41 21 Attach label with iao nuinuer here