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' FGL Environtnental Doc ID. F2RECo05 009 <br /> Revision Date: 4/07/04 Page: I of I <br />' Santa Paula - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt: <br />' l Number of ice chests/packages received <br /> Note as OTC if received over the counter unpackaged <br /> 2 Were samples received in a chilled condttion7 Temps 1 I I I <br />' Acceptable is above freezing to 6°C Also acceptable is received on ice(R(5I) for the same day of sampling or <br /> received at room temperature(RRT) if sampled %ithin one hour of receipt Client contact for temperature failures <br /> must be documented below If many packages are received atone tune check for tests/1-1 T 'slrushes/Bacti's to <br />' prioritize further review Please notify Microbiology personnel immediately of ba mp es received <br /> 3 Do the number of bottles received agree with the COC? No N/A <br />' 4 Were samples received intact? (i a no broken bottles, leaks etc } No <br /> 5 Were sample custody seals intact? / Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels <br /> Sample Verification, Labeling and Distribution: <br />' I Were all requested analyses understood and acceptable? Ye No <br /> 2 Did bottle labels correspond with the client's ID's? Yes No <br />' 3 Were all bottles requiring sample preservation properly preserved*YesNo NIA FGL <br /> 4 Were all analyses within holding times at time of receipts <br /> lie 5 Have rush or project due dates been checked and accepted' No <br /> Attach labels to the containers and include a copy of the COC for lab d <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 /> tProblem <br /> Resolution <br />' (3-14996) <br /> Ground Zero Analysis <br /> STK0531968 <br /> SRP-03/21/2005-14 37 55 imber here <br /> 1 <br />