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1 <br /> FGL Environmental Doc ID:F2REC005.006 <br /> Revision Date: 10/20/00 Page: I of 1 <br /> Santa Paula - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt: <br /> I. Number of ice chests/packages received: <br /> 2. Did all ice chests/packages pass the radiation screen? Yes No <br /> If no, what was the Geiger counter reading? <br /> 3. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Note as AOI(arrived on ice)if chilling was begun for samples received on <br /> same day of sampling. Samples may be received without cooling if sampled within one hour of receipt. If many <br /> packages are received at one time check for tes .T.'s/rushesBacti's to prioritize further review. Please notify <br /> Microbiology personnel immediately of bacti samples received. <br /> 4. Do the number of bottles received agree with the COC? Ye No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 6. Were sample custody seals intact? C!1 <br /> 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 /> 1. Were all requested analyses understood and acceptable? es 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? Yes No N FGL <br /> 4. Were all analyses within holding times at time of receipt? es No <br /> 5. Have rush or project due dates been checked and accepted? N/ Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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: STT <br /> 35544- <br /> Scotts Hyponex Corporation <br /> RESERVED LABEL FOR3-12203 <br /> RECEIVED: 11/21/2000 <Label 4 / 4> <br />