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FGL Environmental Doc ID: F3REC005,005 Revision Date: 2/13/09 Page: 1 of I Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: . Number of ice chests/packages received: 2. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day ofsampling or received at room temperature(RRT)if sampled within one hoar of receipt. Client contact for temperature failures must be documented below. If many packages are received at one time check for tesWH.T.'s/rushesBacti's to prioritize furtber review_ please notify Microbiology personnel immediately of ba les received__ 3. Do the number of bottles received agree with the COC7 No N/A 4. Were samples received intact?(i.e.no broken hordes, leaks etc.) No S. VOAs checked for Headspace? Yes No NIA 6. Were sample custody seals intact? Yes No N/A Sign and date the COC. place in a ziplock and put in the same ice chest as its s. 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 many packages are ceived at one time check for tests/H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel immediately of bacii 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.) a No 4. Were sample custody seals intact? Yes l Sign and date the COC. obtain LIMS 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 fD's? es No 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL 4. VOAs checked for Headspace? es No N/A 5. Were all analyses within holding times at time of receipt? Yes No 6. Have rush or project due dates been checked and accepted? l�.Y.es �/[J(o N//A Attach labels to the containers and include a copy of the COC far lab delivery./ \>'� Sample Receipt,Login and Verification completed by (initials): Discrepancy Documentation: Any items above which are"No"or do nm meet specifications(i.e.temps)most be resolved. I. Person Contacted: Phone dumber: Initiated By- Date: Problem: Resolution: (3-16608) Live Oak Geo Environmental STK0939912 3RP-10/22/2009_11:36:54