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OCT-01-2002 10 :J5 t1 Lby.tiv4l71 e r ti� <br /> FGL Environmental Doc TD: F2R 0005.008 <br /> Revision Date: 3/8/01 Page: 1 of 1 <br /> Sant Paula - Condition Upon Receipt.(Attach to COC) <br /> Sample Receipt: <br /> 1. Number of ice c ests/packages received: <br /> Note as UTC if recei ed over the counter unpackaged. <br /> 2. Were samples re, eived in a chilled condition? Temps: <br /> Acceptable is above reefing to 6° C. Also acceptable is received on ice (R(5I)for the same day of sampling or <br /> received at room to perature (MRT) if sampled within one hour of receipt. Client contact for temperature failures <br /> must be documented below if many packages are received at one time check for to <br /> prioritize further rcv cw. Please notify Microbiology persomic] immediately of acu samples received. <br /> 3. Do the number o bottles received agree with the COC? No N/A <br /> 4. Were samples re eived intact? (i.e. no broken bottles, leaks etc.) es ) No <br /> 1 <br /> i <br /> 5. Were sample cus ody seals intact? ) Yes No <br /> Sign and date the CO , obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, abeling and Distribution: <br /> 1. Were all request d analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the client's Ill's? es No <br /> 3. Were all bottles t equiring sample preservation properly preserved? Yes No ,��FGL <br /> 4. Were all analyse within holding times at time of receipt? No <br /> 5. Have rush or pro ect due dates been checked and accepted? �%p Yes No <br /> Attach labels to the co itainers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Logir and Verification completed by(initials): <br /> Discrepancy Docume tation: <br /> Any items above whic are"No" or do not meet specifications (Le. temps) must be resolved. <br /> 1. Person Contacte : Phone Number: <br /> lnitiated By: Dater <br /> Problem: <br /> Resolution: <br /> 2. Person Contacte ____ Phone Numher:_-_ <br /> Initiated By: Date:_ <br /> Problem: <br /> Resolution: 3012628 <br /> Keystone Automotive Industries Inc. <br /> STK233284 <br /> Temp; na <br />