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FGL Environmental Doc ID: <br /> ` F3REC005.002 <br /> Revision Date: 01/20/04 Page: 1 of 1 <br /> L Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> L1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: <br /> L 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 at one time check for tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> L 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) s No <br /> L 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 a PI <br /> 60 Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <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/rashesBacti's to <br /> prioritize fwther review. Please notify Microbiology personnel immediately of bacti samples received <br /> 6. 2. Do the number of bottles received agree with the COC? Yes No N/A <br /> 3. Were samples received intact? (i.e. 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? 'e No <br /> L 2. Did bottle labels correspond with the client's ID's? Y s No <br /> L3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br /> 4. Were all analyses within holding times at time of receipt? Yes No <br /> L5. 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 /> LSample Receipt, Login and Verification completed by (initials): <br /> Discrepancy Documentation: <br /> L Ary items above which are "No" or do riot meet specifications (i.e. temps) must be resolved. — <br /> 1. Person Contacted: Phone Number: <br /> Initiated By:_ __.. Date: <br /> LProblem: (3-9574) <br /> Resolution: ei] P-rAe15011 kSSOCi8te5 <br /> L STK0736501 <br /> SJT-01/20/2001-:..`:53:54 <br /> L � <br />