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FGL Environmental Doc ID: <br /> F3REC005.002 <br /> ' Revision Date: 01/20/04 Page: 1 of I <br /> J Stockton - Condition Upon Receipt (Attach to COC <br /> Sample Receipt at STK: <br /> ' F L 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 received atone time check for tests/H.T.'s/rushesBacti's to <br /> F' prioritize fialber review, Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC. tN <br /> NIA <br /> F4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br /> 5. Were sample custody seals intact? No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest a <br /> C Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> Ft" <br /> 1. Were 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 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 w' , <br /> gr with the COC? ' e No NIA <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) = No <br /> { <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? Os No <br /> 2. Did bottle labels correspond with the client's ID's? Qs No f <br /> F3. Were all bottles requiring sample preservation properly preserved? V No N/A FGL <br /> 4. Were all analyses within holding times at time of receipt? M No <br /> 5. Have rush or project due dates been checked and accepted? of 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): <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: (3-9574) <br /> Problem: <br /> i Anderson & Associates <br /> P! Resolution: S TK O 7 3 p 1 C 6 <br /> �i S3'I`-o9/05/2007-6:15:09 <br />