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FGL Environmental Doc 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 /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: 35/ <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/rushes.Bacti's to <br /> prioritize further reoica-. Please notify Microbiology personnel inunediateIof bMYeo <br /> ' received- <br /> 3. Do the number of bottles received agree with the COC? o N/A <br /> 4. Were samples received intact? (i.e. no broken bottles. leaks etc.) <br /> 5. VOAs checked for I leadspace? Yes No <br /> 6. Were sample custody seals intact? Yes N/A <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as the s es. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? "remps: <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.) es No <br /> 4. Were sample custody seals intact? Yes No N/ <br /> Sign and date the COC. obtain INS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Yes No <br /> 2. Did boulc labels correspond with the client's ID's? 'es No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br /> 4. VOAs checked for Headspace? kes No N/A <br /> 5. Were all analyses within holding times at time of receipt? s No <br /> 6. Have rush or project due dates been checked and accepted? Yes N N// <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)most be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3-16608) <br /> Live Oak Geo aviron,menta <br /> STK1050695 <br /> IV-12j07/2010-11 :43:42 <br />