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4 '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: <br /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: ! 1 I 1 <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(1101)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/rushes/Baeti's to <br /> prioritize further review. Please notify Microbiology personnel immediately ofbac nzples received.. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact'? (i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for ileadspace? No NIA <br /> 6. Were sample custody seals intact? es No NIA <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as IMP() <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 <br /> tests/H,T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately ofbacti samples received. <br /> 2. Do the number of bottles received agree with the COC? No NIA <br /> 3. Were samples received intact?(i.e.no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact? Yes NolA <br /> Sign and date the COC.obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? r<DNo <br /> 2. Did bottle labels correspond with the client's ID's? Yes No <br /> 3. Were ell bottles requiring sample preservation properly preserved? Yes No LNI;) FGL <br /> 4. VOAs checked for Head-space? 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 and accepted? Yes o Nl/A <br /> 1 Attach labels to the containers and include a copy of the COC for lab delivery. <br /> �I Sample Receipt,Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above:which are"No"or do not meet specifications(.ix. temps)must be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: - <br /> Problem: y (3-9574) <br /> INta,> + P3A?"C"11f1 �r ,rye.rn�a �r <br /> Resolution: � ar'i4wvi%A <br /> SRP-06/24/2Cu9— 1:31:46 <br />