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FGL Environmental Doc XD F3REC005 002 Revision Date 01/20/04 Page 1 of 1 Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: I Number of ice chests/packages received 2 Were samples received in a chilled condition? Temps Acceptable is above freezing to 6° C Also acceptable is received on ice(ROI)for the same day of sampling or received at room temperature(RRT) if sampled within one hour of receipt Client contact for temperature failures must be documented below If many packages are received at one time check for tests/H T 'slrushes/Bacti's to prioritize fiirther review Please notify Microbiology personnel i nmediately of bacti samples received 3 Do the number of bottles received agree with the COCA ge No N/A 4 Were samples received intact9 (i a no broken bottles, leaks etc ) No 5 Were sample custody seals intact? des No Sign and date the COC, place in a ziplock and put in the same ice chest as the sampigg Sample Receipt Review completed by(initials) Sample Receipt at SP: I Were samples received in a chilled condition's Temps Acceptable is above freezing to 6° C if many packages are received atone time check for tests/H T's/rushesBacti's to priontize further review Please notify Microbiology personnel immediately of bacti sam received 2 Do the number of bottles received agree with the COC Y No N/A •3 Were samples received intact? (i e no broken bottles, leaks etc es No 4 Were sample custody seals intact9 1V'/A Yes No Sigh and date the COC, obtain LIMS sample numbers, select methods/tests and print labels Sample Verification, Labeling and Distribution: I Were all requested analyses understood and acceptable9 No 2 Did bottle labels correspond with the client's ID's? Y No 3 Were all bottles requiring sample preservation properly preservees No N/A FGL 4 Were all analyses within holding times at time of receipt" Yes No 5 Have rush or project due dates been checked and accepted? NIA Yes No Attach labels to the containers and include a copy of the COC for lab deli , Sample Receipt, Login and Venfication completed by(initials) Discrepancy Documentation Any items above which are "No" or do not meet specifications (i e temps) must be resolved 1 Person Contacted Phone Number Initiated By Date Problem • Resolution (3-14995) Ground Zero Analysis STK0431888 SRP-03/19/2004-12:20.32