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FGL Environmental Doc I73: <br /> F3REC005:002: <br /> Revision Date: 01/20/04: Page: 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. Also acceptable is received on ice(ROI)for the 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 tests/H.T.'s/rushes/BacH,s to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? 1 es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Y s� No <br /> 5. Were sample custody seals intact? <br /> N/A 1 Yes No <br /> Sign and date the COC.,place in a ziplock and put in the same ice chest as the Riajples. <br /> Sample Receipt Review-completed by (initials): -, <br /> Satarl.Re i eeeipt at SI?: <br /> ]. Were samples received in a chilled condition? Temps: M 7 <br /> .acceptable is above freezing to(°C. if many pac4;ages are received at one time check fur testsi.H.T.'s/rushesBaclS's t,prioritize further review. Please notify Microbiology personnel inmiediately of bacti samples received. - <br /> 2 Do the number of bottles received agree with the COC? No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact? C yY Yes No <br /> Sigh and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: ^r <br /> 1. \Verc all requested analyses understood and acceptable? =-mss"` No <br /> Did bottlC. iabelS correspond with the client's !D's? No <br /> "Verc. 111 bottle's recil.111inco ;anlp](! preservation Io )ed'1 pi ��eS No d <br /> 1 1 Y I � lei.,- FCiL <br /> 4. }grcrc ,I' anall;, : ! ithin holdnic, timet at time ofre.ce.ipl? cs ' leo <br /> 5. 1l:;ve rus'l; or lt,r �jext dur bates beeir checked'and accepted? F'1 r ]es No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login and Vsrilication completed by ('initials): <br /> Discrepancy Documentation: <br /> Anv items above which are "No"or do not meet specifications (i.e. temps) must be resolved. <br /> Person C'ontaclerl:-------_--- -- --- Phone Number: <br /> Initiated Dy:___ _ (3-2839) <br /> Problem! Alpine Packing Company <br /> Resolutiol : S I' K 0 7 "} !1® G0 <br /> IV-0.1/30/2007-11:02:28 0• 1/ <br />