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FGL Environmental • •Doc Ill: F3REC005.005 <br /> Revision Date: 2/13/09 Page: I of I <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: q� <br /> 2. Were samples received in a chilled condition? Temps:��`9�; <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(R01)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/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately orb s received.. <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. VOAs checked for Headspace? Yes <br /> NLA <br /> 6. Were sample custody seals intact? Yes <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as the sa i les. <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 check for <br /> testsm.f.'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? No N/A <br /> 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) ess No <br /> 4. Were sample custody seals intact? es No NIA <br /> Sign and date the COC.obtain L(MS sample numbers,select methodsltests and pont labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? e No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 4. VOAs checked for liendspace? s No N/A <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> 6. Have rush or project due dates been checked and accepted? Yes No 6A <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 /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: (3-9045) <br /> Resolution: California Water Service <br /> STK1338534 <br /> IV-08/26/2013-09:35:31 <br />