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FGL Environmental Doe ID:MECt)05A0s <br /> Revision Date:2/13109 <br /> 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: J <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 rhe 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 testslH.T.'tJrt:sheslBacti's to <br /> prioritize further review. Please notify Microbiology personnel inunedlately of ba es received., <br /> 3. Do tate number of bottles received agree with the COC? Y No NIA <br /> 4. Were samples received intact?(i.e.no broken bottles.leaks etc.) Y o <br /> 3. VOAs checked for Headspace? Yes o <br /> I 6. Were sample custody seals intact? <br /> es No A <br /> Sign and date the COC.place in a ziplack and put in the some ice chest es the 1 <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> I. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to d°C. If many packages are received at one time check for <br /> testslT s.'s/rushestBacips to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacii samples received. <br /> 2. Do the number of bottles received agree with the COC? SeNo NIA <br /> 3, Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 4- Were sample custody seals intact? No N—/A) <br /> Sign and date the COC.obtain LIMS sample numbers,select methodshests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> I. Were ail requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the client's IWO Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> S. Were ail analyses within holding times at time of receipt? Yes No <br /> 6. Have rush or project due dates been checked and accepted? Yes No <br /> C��!) —I <br /> Attach labels to the containers and include a copy of the COC for tab deliV <br /> Sample Receipt,Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above uidch arc"No"or do not meet specifications(i.e.temps)must W resolved, <br /> I. Person Contacted ��_ ,.T.....L-... <br /> Initiated By <br /> Problem: <br /> Resolution: ST K 113 0 2 2 <br />