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12"W) �AX 8Utb2541 f{ FCL LNVIRONMENTAL <br /> 14013/012 <br /> FC4L ErtvcronMentat <br /> ReVision Date: 4/07/04 Dec ID.F2RECOoS,009 <br /> Page.I of 1 <br /> Sawa Null, - Conditloo Upon Receipt (Attach to COG) <br /> Sample 17eceipt; <br /> 1 Nwnber of ice chests/packages received: <br /> Note as OTC if received over the counter unpackaged. <br /> 2. <br /> Were samples received in a chilled condition? Temps: !_ <br /> Aaatpral,la is al7nvs freezing to 5°C. Alsrr aGCeptable is received 4n ice (R03)for tho same day of sarapiing or <br /> usreceived at umeoom temperature(RIMfmaja p ck Lg ed Within one hour of recaipt_ Ciieut aontaet for rsnperat¢re failures <br /> must be documented below, Ifsnaay pacltsges arc received at one time chrck for tcsWXT.`alrushes/akt,s to <br /> Prioritize further mvisw. Please Rotify Microbiology persoxmel immediately of bacti samples received. <br /> - Do the number of bottles received agree with the COC? <br /> No N/A. <br /> 4• Were Samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> S, Were- saMple custody seals intact? r <br /> pc. yes No <br /> Sign and date the COC, obtain LTMS sample numbers, select methods/tests and print labels_ <br /> Sample Verffictition,Labeling and Distribution: <br /> l Were all requested analyses understood and acceptable? -� No <br /> - Did bottle Iabels correspond with the client's ID's? <br /> No <br /> 3. Were all bottles requiring sample preservation properly Preserved? r <br /> X10) No NIA PGL <br /> 4. Were all analyses within holding times at time of receipt? No <br /> :5. Have rush or project due flares been checked and acoop•ted? fires <br /> 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 /> l Person Contacted_ Phone Number: <br /> Initiated By: Date: <br /> Problem.: <br /> Resolution. <br /> 2. Person Contacted: Phone Munber: <br /> Initiated By; Date: <br /> Problem; <br /> Resolution: <br /> w���T b� C � ij1� � •� � . <br /> ` 71 r. <br /> v"..-��- -•f_ "rye '.� . ` <br />