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FGL Environmental Doc D: F3REC005.005 <br /> Revision Date: 2/13/09 Pag : I of I <br /> Stockton - Condition Upon Receipt (Attach to COC <br /> Sample Receipt at STK: t <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. Also acceptable is received on ice(ROI) for the sane d y of sampling or <br /> received at room temperature(RRT) if sampled within one hour of receipt. Client contact for i emperature failures <br /> must be documented below. if many packages are received at one time check for tests/H.T.'s/ hes.Bacti's to <br /> prioritize funher review. Please notify Microbiology personnel immediately of bacti jam Ales i eceived.. <br /> 3. Do the number of bottles received agree with the COC? We <br /> N N/A <br /> 4. Were samples received intact'? (i.e. no broken bottles. leaks etc.)5. VOAs checked for Headspace? N/A <br /> 6. Were sample custody seals intact? Yes rIQ A <br /> Sign and date the COC. place in a ziplock and put in the same ice chest a t p <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 6° C. If many packages are received at one time the k for <br /> tests/H.'I.'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? Y s N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact? es N/A <br /> Sight and date the COC. obtain LIMS sample numbers, select methods/tests and pnnt label <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? e <br /> 2. Did bottle labels correspond with the client's ID's? Yes <br /> 3. Were all bottles requiring sample preservation properly preserved? e N 3 N/A FGL <br /> 4. VOAs checked for lieadspace? e N/A <br /> 5- Were all analyses within holding times at time of receipt? es <br /> 6. Have rush or project due dates been checked and accepted? eN D NHA <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): t/ n (C / <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: -'- — <br /> Problem: (3-16608) <br /> Resolution: Live Oak Geo Enviro ntal <br /> a1K123677 re <br /> IV-07/18/2012-11:5 :14 <br />