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FG1<.Environmental Page: <br /> 1[D:F3RECOOS.005 <br /> Page: l of l <br /> Revision Date:VIVO <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? Tentps: '`""`' <br /> Acceptable is above freezing to 6°C. Also ameptable is received on ice(RDI)for the same day of sampling or <br /> received at roots~temperature(RRT)if sampled within one hour of receipt. Client eotttaet for tetttper We WhM <br /> test be docunwnted below. If many packages are received at one wrie check for tests/H.T.sinabes/113CH's to <br /> prioritise fw1her review. Please notify Microbiology personnel inunedh*ly of bacYi les 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 /> S. VOAs checked for Headspace? No N <br /> 6. Were sample custody seals intact? Yes No A <br />} Sign and date the COC.place in a ziplock and put in the sante ice chest a les. <br /> Sample Receipt Review completed by(initials): —6t:y <br /> Sample Receipt at SP: <br /> 1. Wenn samples received in a chilled condition'? Temps: <br /> Acceptable is above freezing to 6'C. if many packages are received at one time check for <br /> tam/H.T.'skashes/Bacti's to prioritize further review. Please notify Microbiology personnel <br />` irranediately of bacti samples received. <br /> 2. Do the number of battles received agree with the COes <br /> C? No NIA <br /> 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 4. Were sample custody seals intact? X No NIA <br /> Sign and date the COC,obtain LiMS sample numbers,select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> I Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? No NIA <br /> S: Were all analyses within holding times at time of receipt? No <br /> 6. Have rash or project due dates been checked and accepted? Yes No <br /> Attach labels to the containers and include a copy of the COG for lab delivery. <br /> Sam*Receipt.Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which we"No"or do not meet specificatiom(i.e.temps)must be resolved. <br /> t. Pelson Conmeted: Phone Numher <br /> Initiated By: Date• <br /> Probterm <br /> (3-16608) <br /> Resohnion: Live Oak Geo Ehviromental <br /> STK1133373 <br /> IV-04/22/2011-11:27:07 <br />