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FGL Environmental Doe ID: F2REC005.011 <br /> Revision Date: 10/18/07 Page: 1 of 1 <br /> Santa Paula- Condition Upon Receipt(Attach to COC) <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> Note as OTC if received over the counter unpackaged. <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is 2`to 6°C. Also acceptable is received on ice(ROI)for the same day of sampling or received at room <br /> temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures must be <br /> documented below. If many packages are received at one time check for tests/H.T.'s/rushesBacti's to prioritize <br /> further review. Please notify Microbiology personnel immediately of bacti sample tv d. <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e.no broken bottles, leaks etc.)' No <br /> 5. Were sample custody seals intact? N/ Yes No <br /> Sign and date the COC, obtain LWS sample numbers,select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? Ye No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No GNI FGL <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> 6. Have rush or project due dates been checked and accepted? /A Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delive <br /> a <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 /> Problem: <br /> Resolution: �3-13042) <br /> Geonanalytical Laboratories, Inc, <br /> STK1236036 <br /> SRP-06/29/2012-15:24:10 re <br />