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FGL Environmental Doc ID:F3REC005.004 <br /> Revision Date: 10/23/07 Page: 1 of 1 <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? 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 at one time check for tests/H.T.'s/mshes/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 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.) es No <br /> 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 mpl <br /> 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 testsM.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 with the COC? Y No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact? t1 Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tes s'and print 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? Y No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No /A FGL <br /> 4. VOAs checked for Headspace? Yes No 1 <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> 6. Have tush or project due dates been checked and accepted? / s No <br /> Attach labels to the containers and include a copy of the COC for lab deliv <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 /> Initiated By: <br /> Problem: t <br /> I,cl . .1{rrEa�c�n .0 Dccnr �rpr <br /> Resolution: fjl lA Cj �j <br /> FIG ,ere <br />