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• i <br /> FGL Environmental Doc ID: F3REC005.005 <br /> Revision Date: 2/13109 Page; 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: rr' <br /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: ' <br /> Acceptable is above freezing to 6° C. Also acceptable is received on ice(ROI) for the same day of sampling or <br /> received at room temperarure(RRT) 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 far tests/H.T.'s/nishesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bactj t Ales received.. <br /> 3. Do the number of bottles received agree with the COC? No NIA <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br /> 5. VOAs checked for 1-leadspace? Yes No / <br /> 6. Were sample custody seals intact? Yes No <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as the�sam es. <br /> Sample Receipt Review completed by (initials): VA <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition'? Temps: / I I / <br /> Acceptable is above freezing to 6° C. If many packages are received at one time check for <br /> testsni.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with (lie COC? No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) 6, No <br /> 4. Were sample custody seals intact'? Yes No /A <br /> :) <br /> Siam 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? Yes No <br /> 2. Did bottle labels correspond with the client's Us? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No / FGL <br /> 4. VOAs checked for I ieadspaee? Yes No N/A <br /> 5. Were all analyses within holding times at time of receipt? Yes No <br /> 6. Have rush or project due dates been checked <br /> and accepted'? Yes No Nl/ <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 Docuntentation: <br /> Any items above which are"No"or do not mf:et specifications(i.e. temps)must be resolved. <br /> 1. Person Contacted:� Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3-3641) <br /> �ti +i°c DvvaGvivuti eye <br /> STK123762 <br /> SRP-08/09/2012_16:31:30 <br />