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FGL Environmental <br /> NOW Doc ID: F3REC005.001 <br /> Revision Date: 10/20/00 Pa;e• 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. Note as AOI(arrived on ice) if chilling was begun for san_pies 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? Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): ( I - S�_71� <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 tests/H.T.'s/rushesrBacti'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? /Yes" :No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) /j es No <br /> 4. Were sample custody seals intact? tC� Yes No <br /> _ Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? ` s No <br /> 2. Diad bottle labels correspond with the client's ID's? � es�-� No <br /> 3. Were all bottles requiring sample preservation-properly preserved? ""'es,; No N/A FGL <br /> 4. . Were all analyses within holding times at time of receipt? �-/_YFes_/ No <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): i <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 /> Dillon & 3010028 <br /> MurPhY Engineering <br /> STK235904 <br /> Temp: roil <br />