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03102/2007 16: 10 FAX 80566254172 FGL ENVIRONMENTAL Z012/012 <br /> FGL Environmental Doc TD: <br /> 1~3REC005.002 <br /> Revision hate:01/20/04 Page: l of I <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: <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROn 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 tesu/H.TA/rushesfBacti's to <br /> prioritize fruther review. Please notify Microbiology personnel immediately ofbacti 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 /> f` 5. Were sample custody seals intact? N{A Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as the les. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time chuck for tests/H.T_'s/tushes Bacti's to <br /> Prioritize further review. Please notify Miembialogy personnel irmnediatcly ofbacti 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? Yes No <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verl>fication,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? coo <br /> 2. Did bottle labels correspond with the client's ID's? <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No (B FGL <br /> 4. Were all analyses within holding times at time of receipt? a No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <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): 4-49%, <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: Phone Number: _ <br /> Initiated By: ^_�- <br /> Problem: (3-9S74) <br /> Resolution. <br /> Neil Anderson & Associates <br /> STK0731. 30 <br /> Iv-02/09/2007-10:49:37 <br />