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FGL Environmental Doc ID: <br /> L F3REC005.002 <br /> Revision Date: 01/20/04 Page: 1 of 1 <br /> L Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: oy <br /> 2. Were samples received in a chilled condition? Temps: <br /> L <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day of sampling or <br /> L 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 tests/H.T.'s/mshes/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? Yes No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br /> L <br /> 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 assar <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: // <br /> 1. Were samples received in a chilled condition? Temps: C2 <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushes/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? /Yes No N/A <br /> L3. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes 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 Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? QY�s No <br /> 2. Did bottle labels correspond with the client's ID's? �ei) No <br /> 3. Were all bottles requiring sample preservation properly preserved? (ns No N/A FGL <br /> 4. Were all analyses within holding times at time of receipt? (fe� No <br /> r, 5. Have rush or project due dates been checked and accepted? T 8 Yes No <br /> Attach labels to the containers and include a copy of the COC for lab deliveT; <br /> 6 Sample Receipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> r, Any items above which are"No"or do not meet specifications (i.e. temps) a resolved. <br /> 1. Person Contacted: nu—Number: <br /> Initiated By: (3-2703) <br /> �. Problem: lit 1 <br /> e der Inc. <br /> Resolution: <br /> V ( t S T K '7 3 O p 3 y 2 <br /> IV-09/07/2007-13:35:58 <br /> V <br />