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FGL Environmental Doc ID: 173RF,C005.005 <br /> Revision Date: 2/13/09 Page: 1 of I <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chestsJpackages received: y� / <br /> ?. 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 temperature(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 for tests/H.T.'s/rushespBacti's to <br /> prioritize farther review. Please notify Microbiology personnel immediately ofba �'�`'t" lcs received.. <br /> 3. Do the number of bottles received agree with the COC? ,`— � No N/A <br /> j� <br /> 4. Were samples received intact?(i.e.no broken bottles. leaks etc.) No <br /> 5. VOAs checked for Headspace'! (Yes_-,')No N/ <br /> 6. Were sample custody seals intact? Yes No /A <br /> Sign and dale the COC, place in a ziplock and put in the same ice chest as the sam <br /> Sample Receipt Review completed by(initials): <br /> Sample ReceiptSP: C f/ 10 <br /> I. Were sampless received in a chilled condition'! Temps: /A—/ / / / <br /> Acceptable is above freezing to 6' C. If many packages arc received at one time check for <br /> tests/FI.f.'s/rushes/Hacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacii samples received. <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.) @es No <br /> 4. Were sample custody seals intact? Yes No N/A <br /> Siym and date the COC. obtain LNS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? e No <br /> 2. Did bottle labels correspond with the clients ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? tesNo N/A FGL <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Were all analyses within holding times at time of receipt? No <br /> 6. Have rush or project due dates been checked and accepted? No N//A <br /> Attach labels to the containers and include a copy ofthe COC for lab dT%D <br /> Sample Receipt.Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are"No'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 /> (3-166981 <br /> Live Oak Geo Environmental <br /> STK1331554 <br /> r <br /> NM-02/2i/2013-12:5 :oi <br />