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Doc ID: <br /> F[iL Environmental <br /> F3REC005.002 page: 1 of 1. <br /> Revision Date:01120/04 <br /> Stockton - Condition Upon Receipt (Attach to COC} <br /> Sample Receipt at STK: --Par- <br /> I- Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6'C- Also acceptable is received on ice(ROI)for the same day of sampling or <br /> if Sampled Within one hour of receipt. Client contact for temperature failures <br /> received at roam temperature(RRT) <br /> must be documented below. Ifmany packages are received at one time check for tests/kl-T,'slmsheslBacti's to <br /> prioritiaefurtherrcview_ Please notify Microbiology persona climmCdiatelyofbactiSamplesrcceived.. <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4, Were samples received intact? (i.e. no broken bottles,leaks etc.) <br /> es No <br /> N/,4 Yes No <br /> 5. Were sample custody seals intact? <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as th s leg. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: /— <br /> I. Were samples received in a chilled condition? Temps' / / !— <br /> Aeeeptable is above freezing to P C. If many packages are received at one time check for tcats/H.7.'s/nuhedBacti's to <br /> Please notify Micmbiology per5nnncl immediately of bacti samples]eeeivecL <br /> prioritim further review- <br /> 2. Do the number of bottles received agree with the COC? %/A <br /> No N/A l <br /> 3. Were samples received intact? (i.e. no broken bottles,leaks etc.) No <br /> 4. . Were sample custody scats intact? <br /> Yes No <br /> Sign and date the COC,obtain LIMS sample numbers,select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: r <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2,. Did bottle labels correspond with the client's ID's? <br /> No <br /> 3, Were all bottles requiring sample preservation properly preserved? Yes No N/ FGL, <br /> q, Were all analyses within holding times at time of receipt? Yes o <br /> 5. Iiavo rush or project due dates been checked and accepted? N/ No <br /> Attach labels to the containers and include a copy of the COC for lab deli <br /> Sample 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 /> I. Person Contacted: ;3-131A2i <br /> Initiated-By' UY?{'iS;Qri F,T1VlIo-IeCr. <br /> problem: <br /> STKO538646 <br /> Resolution: 5'i:17 <br />