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FGl1 Environmental Doc ID: F3RECOO5.005 <br /> Page: l of 1 <br /> Revision Date: 2113109 <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: 44z/ f <br /> Acceptable is above freezing to b°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 tesWH.T.'strushes/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately ofb �saDiPles received.. <br /> 3. Do the number of bottles received agree with the COC? No NIA <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) e <br /> 5. VOAs checked for Headspace'? es o N/A <br /> 6. Were sample custody seats intact? No NIA <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as the Sa s., <br /> Sample Receipt Review completed by(initials): f <br /> Sample Receipt at SP: " <br /> I. 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 of bacti 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? a No <br /> NIA <br /> Sign and date the COC.obtain LNS sample numbers, select methods/tests and p abets. <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the client's ID's? NO <br /> j 3. Were all bottles requiring sample preservation properly preserved? No NIA FG <br /> L <br /> 4. VOAs checked for Headspace? a No NIA <br /> S. Were all analyses within holding times at time of receipt? Yes No <br /> G. Have rush or project due dates been checked and accepted? Yes No' e//A <br /> Attach labels to the containers and include a copy of the COC for lab del v <br /> Sample Receipt,Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which arc"No".or do not meet specifications(Le.temps)must be resolved. <br /> t. Person Contacted: Phone Number: <br /> Initiated By: Date: - J <br /> Problem: <br /> Resolution: (3-16608) <br /> Live Oak Gey Environmental <br /> STK1050502 <br /> NMB-12/01/2010-12:04:58 <br />