Get Sample Submission/reception Form

Filling out the SAMPLE SUBMISSION/RECEPTION FORM online is a straightforward process designed to help you efficiently submit lab samples. This guide provides step-by-step instructions to ensure all necessary information is completed accurately.

Follow the steps to complete your submission form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your Client I.D. in the designated field to identify your submission efficiently.
3. Fill in the Lab Sample Code Range to track the samples accurately.
4. Verify the lab/client codes on your sample jars to ensure consistency.
5. Provide the Organization or Department name to designate where the samples are from.
6. Enter the Date Submitted, which is the day you are filling out this form.
7. Input the Name of Submitter, which identifies the individual completing the form.
8. Include the Date Sampled to indicate when the samples were collected.
9. Sign in the Signature of Submitter field to authenticate the submission.
10. Specify the Analysis Period to indicate how long the samples will be analyzed.
11. Input the Client Contact information, allowing for communication regarding the samples.
12. Specify the Total # of Samples being submitted to keep an accurate count.
13. Indicate whether a contract is attached, marking 'Yes' or 'No', followed by the contract number if applicable.
14. Describe the Sample Type, which includes species or matrix details.
15. Provide the Area of Collection to detail the location or sites from where the samples were taken.
16. Outline the Sample History, including how the samples were received and container suitability.
17. Indicate if Field Supplies were requested by client, marking 'Yes' or 'No', and specify the type of supplies needed.
18. Specify the Type of Container used for the samples, listing materials and sizes.
19. Detail any Pre-test requirements that are needed before processing the samples.
20. Enter the Storage Location for the samples.
21. Provide the Storage Conditions (e.g., 4°C/-20°C) to maintain sample integrity.
22. Indicate whether the sample will be stored after processing by marking 'Yes' or 'No'.
23. State if the sample will be returned to the client post-processing, marking 'Yes' or 'No'.
24. Utilize the Comments of Receptionist section for any additional notes regarding the samples.
25. Sign in the Receptionist Signature field for confirmation of receipt.
26. Complete the Authorization field with the Lab Supervisor's signature for final approval.

Ensure you submit your documents online to keep everything organized and accessible.