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FCL Environmental Doc Ill: F3REC005.001 Revision Date: 10/30/00 Page: 1 of I Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: I dumber of ice chest / k eceived s pac a,es r Were samples received in a chilled condition? Temps: Acceptable is above freezing to 6° C. Note as AOI (arrived on ice) if chilling was begun for samples received on same day of sampling. Samples may be received without cooling. if sampled within one hour of receipt. 3. Do the number of bottles received agree with the COC? Yee No N/A Were samples received intact? (i.e. no broken bottles, leaks etc.) /Yeg No 5. Were sample custody seals intact? Yes No Sign and date the COC, place in a ziplock and put in the same ice chest as the samples. Sample Receipt Review completed by (initials): Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps: .Acceptable is above freezing to 6° C. If many packages are received at onetime check for tests/H.T.'s/rushes/Bath's to prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. 2. Do the number of bottles received agree with the COC? e No N/A 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No �'. Were sample custody seals intact? Yes No Sign and date the COC, obtain LEI4S sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution: 1. Were all requested analyses understood and acceptable? Ye No 2. Did bottle labels correspond with the client's ID's? es No 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL 4. Were all analyses within holding times at time of receipt? e No 5. Have rush or project due dates been checked and accepted? ` N/ Yes No Attach labels to the containers and include a copy of the COC for lab deliW Sample Receipt, Login and Verification completed by (initials): Discrepancy Documentation: Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: (3-3147) Advanced Interconnect Tech, STK0332467 LMC -05/04/2003:11:23 AM