Laserfiche WebLink
FGL Environmental Doe ID: F3RECOO5.001 <br /> Revision Date: 10/20/00 Page: I of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> F1, 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: K+ I I I I <br /> Acceptable is above freezing to 6°C. Note as AOI(arrived on ice)if chilling was begun for samples received on i <br /> F same day of sampling. Samples may be received without cooling if sampled within one hour of receipt. <br /> F3. Do the number of bottles received agree with the COC? Yes No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Y No j <br /> 5. Were sample custody seals intact? N/ Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as t esaro S. <br /> Sample Receipt Review completed b (ini.ti.al <br /> Receipts): <br /> Fu' <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> r Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushesBacti's to <br /> prioritize farther review. Please notify Microbiology personnel immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? 6 s) No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) 6� No <br /> 4.' Were sample custody seals intact? (fa Yes No <br /> FSign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> F.' 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes , No <�91'A_-->FGL <br /> 4. Were all analyses within holding times at time of receipt? ,� No <br /> ,1 5. Have rash or project due dates been checked and accepted? (!IT�> Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> FSample 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 /> PProblem: <br /> Resolution: STK 1314 0 7-- <br /> Anderson & Associates <br /> RESERVED LAMM FOR 3-9574 <br /> RECEIVED: 03/30/2001 <Label 4 / 4> <br />