Laserfiche WebLink
Jul • 13. 2006 1 : 5 9 P M Prudential California - Lodl No• 3622 P • 11/11 <br /> 4. <br /> FGL Environmental Doc ID: <br /> F3REC005.002 <br /> Revision Date: 01/20/04 Page: 1 of 1 <br /> Stockton- Condition Upon Receipt(Attach to COC) <br /> Sample Receipt at STK.- <br /> 1. <br /> TK:1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: ;K I. <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)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 atone time check for tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bscti sem les 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.) Y No <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 as the S <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps:2L/ <br /> Acceptable is above freezingto&C. If many packages are received atone time check for tests/H.T.'shushes/Baeti's to <br /> prioritize further review. Pleme notify Microbiology personnel immediately of hwti samples recalved. <br /> 2. Do the number of bottles received agree with the COC? e , No N/A <br /> 3. Were samples received intact?(Le. no broken bottles,leaks etc.) es No <br /> 4. Were sample custody seals intact? N/ 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? CM No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FOL <br /> 4. Were all analyses within holding times at time of receipt? No <br /> 5. Have rush or project due dates been checked and accepted? N/ 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): C� <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 /> � ui G � Attach label with lab number here <br />