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r r• ! 11 <br /> FGL Environmental \l Doc ID: F3REC005.005 <br /> Revision Date: 2113/09 Page: 1 of 1 <br /> i <br /> ji Stockton - Condition Upon Receipt (Attach t0 COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: I ! I / <br /> Acceptable is above freezing to 6*C. Also acceptable is received on ice(1101)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. I f many packages are received at one time check for tests/H.T.'s/rushes/Bacti's to <br /> 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? No N/A <br /> 4, Were samples received intact?(i.e.no broken bottles, leaks etc.) No <br />} 5. VOAs checked for Headspace? e No N/ <br /> r 6. Were sample custody seals intact? Yes No /A <br /> Sign and date the COC.place in a ziplock and putt in the same ice chest as th s les. <br /> Sample Receipt Review completed by(initials): LV <br /> E 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 />! testsfH.T.'s/rushes/Hacti'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? (3nR No N/A <br /> 3. Were samples received intact? (i.e.no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact'? e No N/A <br /> Sign and date the COC, obtain LEMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? CX-e� No <br /> ?. Did bottle labels correspond with the client's fD's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? No NIA <br /> 7 <br /> S. Were all analyses within holding times at time of receipt? <ye No <br /> 6. Have rush or project due dates been checked and accepted? Yes No /1 <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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 /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> (3-16608 j <br /> T 1 ve �a' Geo EV ronmenta: <br /> STKI 0324 /6 <br /> IV-03/19/20IO-10:24:57 <br />