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a • <br /> FCL Environmental Doe ID: F3REC005.005 <br /> Revision Date. 2/13109 Page: I of 1 <br /> i <br /> Stockton - Condition Upon Receipt (Att2CII to CDC) <br /> Sample Receipt at STK.: <br /> I- 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(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 rcceived at one time check for tests/H.T.'s/ntshes/Bacti's to <br /> prioritize further revievv. Please notify Microbiology personnel inunediately of b• les received.. <br /> 3. Do the number of bottles received agree with the CQC? No NIA <br /> 4. Were samples received intact?(i.e.no brokers bottles, leaks etc.) es, '' o <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> Sign and date the COC. place its a ziplock and put in the same icc chest as the sa les. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1_ Werc sam les received in a chilled condition'? Te / ! I_I_ <br /> p Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time.check for <br /> tests[H.T.'s/rushes/$acti's to prioritize further review. Please notify Microbiology persormel <br /> immediately of bacti 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 punt labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable:? es No <br /> 2, Did bottle labels correspond with the client's ID's? No <br /> l <br /> 3. Were all bottles requiring sample preservation property preserved? No NIA FGL <br /> 4. VQAs checked for Headspace? No NIA, <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> 6. Have'rush or project due dates been checked and accepted? Yes N //A <br /> AttacbIabels to the containers and 'include a copy of the COC for lab delivery. <br /> Sample'Receipt, Login and Verification completed by(initials): <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 /> tritiated By: Date- <br /> Piobtem: <br /> Resolution: <br /> Live Oak Geo E�nviroranta j <br /> SRP-07/28/2010-12:59:s1 <br />