Laserfiche WebLink
FGL Environmental Doe ID: F3REC005.005 <br /> Revision Date: 2/13/09 Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <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 temperance(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 ofba les 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.) NoK5\ <br /> 5. VOAs checked for 1-leadspace'? Yes No <br /> 6. Were sample custody seals intact? es No N/ <br /> Sign and date the COC. place in a ziplock and put in the same ice chest asa mple <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 <br /> tests/H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? No N/A <br /> 3. Were samples received intact?(i.e.no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact? e No N/A <br /> Sign and date the COC. obtain LIMS sample numbers, select methods/tests and#t labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Were all analyses within holding times at time of receipt? 23r No <br /> 6. Have rush or project due dates been checked and accepted? Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delive <br /> Sample Receipt, Login and Verification completed by (initials): <br /> Discrepancy Documentation: <br /> Any items above which arc"No"or do not meet specifications(.i.e. temps)must be resolved. <br /> I. Person Contacted:_ Phone Number: <br /> Initiated By: .,_._. <br /> Problem: <br /> Resolution: Live Oak Geo Enviropmental <br /> STK1150523 <br /> zV-12/02/20111-10:18:20 <br />