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FGL Environmental Doe TD: F3REC065.005 Revision Date: 2/13/09 Page: t of 1 Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STI:: I. Number of ice chests/packages received: 2. Were samples received in a chilled condition? Temps-_! la_ Acceptable is above freezing to 6'C. Also acceptable is received on ice(ROI)for the me day of sampiing or received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures must be documented below. If many packages are received at one time check for tests/H.T.'shushesBacti's to prioritize further review. Please notify Microbiology personnel immediately of bath les received.. 3. Do the number of bottles received agree with the COC? o NIA 4. Were samples received intact?(i.e.no broken bottles. leaks etc.) No 5. VOAs checked for Headspace? es o N/A 6. Were sa le c ovd seals intact? Yes No �t�. N'icr_t1c�b5kx Sign and date the COC.place in a ziplock and put in the same ice chest as t amples. 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 tunny packages are received at one time click for tests/H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel immedialely ofbaet)samples received. 2 Do the number of bottles received agree with the COC. No N/A 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) ie No 7 1 4. Were sample custody seals intact? Yes No tp� Sign and date the COC,obtain LPAS sample numbers,select methods/tests and print labels. Sample Verification, Labeling and Distribution: I. Were all requested analyses understood and acceptable? es No 2. Did bottle labels correspond with the client's ID's? Yes No 3. Were all bottles requiring sample preservation properly preserved? Yes No NIA FGL 4. VOAs checked for 1{eadspace? Y�ess No /A 5. Were all analyses within holding times at time of receipt? Jf'es / No 6. Have rush or project due dates been checked and accepted? Yes No // Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt,Login and Verification completed by(initials): Discrepancy Documentation: Any items above which arc"No"or do not meet specifications(i.e.temps)must be resolved. I. Person Contacted: Phone Number. Initiated By. Date: Problem: Resolution: (3-16608) Live Oak Geo Niromental STK1339998 sRP-10/10/2013-12:12:39