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EGL Environmental Doc TD: F3ItECQ05.001 <br /> Revision Date: 10/20!00 Page: 1 oft <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: rere. <br /> 2. Were samples received in a chilled condition? Tempst l�/ <br /> Acceptable is above freezing to 6°C. Note as AOI(arrived on ice)if chilling was begun for.samples received on <br /> same day of sampling. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles,leaks,etc.) No <br /> 5. Were sample custody seals intact? W Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as the samples. ' J <br /> Sample Receipt Review completed by(initials): I O"24—C2- a <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps I/ r t / 9— <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/mshesBacti'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? es No N/A <br /> 3. Were samples received intact? (i.e. no broken_ bottles, leaks etc.) No <br /> 4. Were sample custody seals intact? Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select meths ds/tests and print 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? No N/A FGL <br /> 4. Were all analyses within.holding times at time of receipt? PYesNo <br /> 5. 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 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) must be resolved. <br /> 1. Person Contacted: ' Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 3014822 <br /> Elders Elevators <br /> 5TK235575 <br /> Temp: roll I I l <br />