West Penn Power Contract with Eaton Corporation as a CSP

tamper-evident label/seals (CCF, Step 3).
13.The colledor will write the date on the label/seals. The donor will be asked to initial the
label/seals once they are affixed to the bottles.
14. After sealing the specimen bottles, the donor will be permitted to wash and dry his/her
hands, ff he/she so desires.
15. The donor will be instructed to read and complete the donor certification section of the
CCF (Step5), including signing the certification statement.
16. The collector will complete the collector certification section of the CCF form (Step 4),
including signing the certification statement and recording the date and time of the
collection.
17.The collector will record any remarks concerning the collection process in the "remarks"
section of (he CCF form.
18. The cxjllector will place the bottles and copy 1 of the CCF in the plastic bag and seal it.
19.The collector will give the donor his/her copy of the CCF form (copy 5). The donor may
leave the collection site at the completion of this step of the collection process. It is not
necessary for the donor to remain at the collection site while the specimen bottle(s) and
CCF form are being prepared and packaged for shipment to the laboratory.
20.The collector will fax the MRO copy of the form directly to the MRO at the number on the
CCF, and fax the employer copy to the designated employer representative.
21. The plastic bag containing the bottle and CCF will be shipped in a padded mailer or
shipping container to the laboratory. It is not necessary for the collector to initial or date the
shipper container
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