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4 <br /> FGL Environmental Doc ID: <br /> )N3REC005.002 k <br /> Revision Date: 01120/04 Page: 1 of I <br /> F ' <br /> Stacktorl _ Conditia� Upon Receipt (Attach to COC) <br /> ) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: L <br /> E 2. Were samples received iii a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(R.OI)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 tiufe check for tests/H.T.'s/rushes/Bacti's to <br /> f F prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> .3. Do the number of bottles received agree with the COC? es No NIA <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br /> I . <br /> 5. Were sample custody seals intact? NIA Yes No i <br /> Sign and date the COC, place in a ziplock and put in the same ice chestrn-M—eTtqiples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at Sly: <br /> 4 1. Were samples received iri a chilled condition? Temps: 1 1 1 I <br /> E Acceptable is above freezing to 6°C. If many packages are received alone time check for tests/H.T.'s/rushesBacti's to j <br /> F pHaritize further review. Please notify Microbiology personnel imruediately of bacti samples received. <br /> F2. Do the number of bottles received agree with the COC? Yes No NIA <br /> i <br /> 3. Were samples received intact? (i.e. no broken bottles; leaks etc.) es No <br /> 4. Were sample custody seals intact.'? 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 /> I. Were,all requested analyses understood and acceptable? es No <br /> F2. Did bottle labels correspond with the client's ID's? No <br /> ?. Were all bottles requiring sample preservation properly preserved'? r'77T,-) No NIA FGL <br /> 4. Were all analyses within holding times at time of receipt'? Yeti' No <br /> Nay e riasl; or project cltlt dates heen checked and accepted? GDAYep: No <br /> Fil <br /> Att.ar.h labels to the containers and include a copy of the CO(' I'm lab delivery: <br /> San"gile Receipt. Login and Ve6ficatitn3 completed by(initials): <br /> Discrepaliry borun><eolatioi): <br /> ;lhovr "11111'1.1 i11C „1 ti..' !11 do r)ol 1T ect �:pcc,d'l aiioj-1s (l.t tl 11111 1"til?`;t hL rt:solvt''l!- <br /> I i`<-1s1S1� i '�uli��(lrsl: 1'h1�11t• �.itllrik}rr: <br /> jN <br /> Itr 111111111:.. lL+'l4Eiw:.� v, 0.�i11 �111 vEi�•`u±G -:1 <br /> ti � 1 . <br /> E <br />