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FGLEnvironmental De¢ 11D• F3REC005.001 <br />Revision Date: 10/20/00 �- Page; :1 of 1 <br />Stockton - Condition Upon Receipt (Attach to CO -C) <br />Sample Receipt at STK: �) <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. Note as AOI (arrived on ice) if chilling was begun Cat 5aumples received on <br />same day of sampling. Samples may be received without cooling if sampled wi#n oqa-torr ofi receipt. <br />3. Do the number of bottles received agree with the COC? <br />Nei N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) NCO <br />5. Were sample custody seals intact? -& ji'es No <br />Sign and date the COC, place in a ziplock and put in the same ice chest as s <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: o <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 tests/HT.'vshushesBacti's to <br />prioritize further review. Please notify Microbioldgy personnel immediately of bacti samples receives. <br />2. Do the number of bottles received agree with the COC? Y Nao N/A <br />3. Were samples received intact? (i.e. no broken bottles, leaks etc.) Y NCO <br />4. Were sample custody seals intact? 'Yes No <br />Sign and date the COG, obtain LIMS sample numbers, select methods/tests and p:rimtf labels. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? <br />2. Did bottle labels correspond with the client's ID's? <br />3. Were all bottles requiring sample preservation properly <br />4. Were all analyses within holding times at time of receip <br />Have rush or project due dates been checked and accept, <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 />Naa <br />NCO <br />NCO N/A FGL <br />Nam <br />'fats No <br />Discrepancy Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must h mesolved. <br />1. Person Contacted:_ Phone Number: <br />Initiated By: ° Date: <br />Problem: <br />Resolution: <br />3003147 <br />Advanced Interconnect Tech. <br />Temp: roil <br />STK133833 <br />