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FGL Environmental <br />€ Revision Date:2/13109 Page: 1 of 1 <br /> E <br /> Stockton- Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: <br /> ? Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(Rol)for the same day of sampling or <br /> received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature faitures <br /> E <br /> must be documented below. if many packages are received at one time check for tests/H.T.'Skushes/Bacti's to <br /> prioritize further review. Please notify Microbiology personael intrnedlately of bra lereceived..A <br /> 3. Do the number of bottles received agree with the COC? 0 <br /> 4. Were samples received intact?(ie.no broken bottles,leaks etc.) <br /> 5. VOAs checked for Headspace? o <br /> 6. Were sample custody seals intact? Yes No N/A <br /> Sign and date the COC.place in a ziplock and put in the same ice chest as the sant <br /> Sample Receipt Review completed by(initials). <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition'? Temps: <br /> freezing to 6°C. If me packages are received at one time check for <br /> ble is above free many <br /> Accepts 8 <br /> tests/H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology persormel <br /> immediately of bacti samples received. <br /> ? Do the number of bottles received agree with the COG? No No N/A <br /> I Were samples received intact?(i.e.no broken bottles,leaks etc.) No N/A <br /> 4. Were sample custody seals intact? <br /> Sign and date the COC_obtain LIMS sample numbers,select methodshests andttbels. <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? a No <br /> 2. Did bottle labels correspond with the client's Us? No <br /> 3. Were all bottles requiring sample preservation properly preserved:" Ye No N/A FGL <br /> 4. WAS checked for Headspace? No N/A <br /> 5. Were all analyses within holding times at time of receipt? No <br /> r <br /> G. Have rush or project due dates been checked and accepted? Yes No <br /> Atta5hjabcls to the containers and include a copy of the COC for lab deliver <br /> Sample Receipt,Login and Verification completed by(initials): %-7' <br /> Discrepancy Documentation: <br /> Any item above which are-W'or do not meet speciticatioos(i.e,temps)mot be resolved. <br /> I. Person Contacted Phone Number' <br /> Initiated By Dater— - <br /> Problem: (3-16608) <br /> I <br /> Resolution: Live Oak Vee Enviromental 'I <br /> STK1037162 - <br /> IV-08/09/2010-09:I5:39 1 <br />