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FGL Environmental %' <br />1./ Doc ID: F3REC005.001 <br />Revision Date: 10/20/00 Page: 1 of I <br />Stockton - Condition Upon Receipt (Attach to COC) <br />Sample Receipt at STK: <br />1. Number of ice chests/packages received: <br />2. Were samples received in a chilled condition? Temps:T— - <br />Acceptable is above freezing to 6' C. Note as AOI (arrived on ice) if cbilling was begun for samples received on <br />Sam: day of sampling. <br />3. Do the number of bottles received agree with the COC?(L��No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) ( Ye§�) No <br />5. Were sample custody seals intact? � VIA) Yes No <br />Sign and date the COC, place in a ziplock and put in the same ice chest as tltbe <br />Sample Receipt Review completed by (initials): ()� <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: / <br />Acceptable is above freezing to 6' C. if many packages are received at one time check for .T.'s/rushesBacti's to <br />prioritize further review. Please notify Microbiology personnel immediately of <br />bac <br />sampl eceive . <br />2. Do the number of bottles received agree with the COC? .. No N/A <br />3. Were samples received intact? (i.e. no broken bottles, leaks etc.)No <br />4. Were sample custody seals intact? N/A 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? Yes <br />No <br />2. Did bottle labels correspond with the client's ID's? s <br />No <br />3. Were all bottles requiring sample preservation properly preserved? <br />No N/A FGL <br />4. Were all analyses within holding times at time of receipt? <br />No <br />5. Have rush or project due dates been checked and accepted? <br />Yes No <br />Attach labels to the containers and include a copy of the COC for lab deli <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: <br />Any items above which are `Ni Io" 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 />3003147 <br />Advanced Interconnect Tech. <br />Z�ETK234114 <br />