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FGL Environmental Doc ID F3REC005 002 <br /> Revision Date 01/20/04 Page: 1 of 1 <br /> 0) <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> I Number of ice chests/packages received <br /> 2 Were samples received in a chilled condition9 Temps <br /> Acceptable is above freezing to b° 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/rushesBacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bath samples received <br /> 3 Do the number of bottles received agree with the COCA Yes No NIA <br /> 4 Were samples received intact? (i a no broken bottles, leaks etc } Yes No <br /> 5 Were sample custody seals kntact? NIA Yes No <br /> r <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as e s 1 s <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 tests/H T's/rushes/Bacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bacti sample ceived <br /> 2 Do the number of bottles received agree with the COC9 Ye No N/A <br /> 03 Were samples received intact9 (i e no broken bottles, leaks etc ) es No <br /> 4 Were sample custody seals intact? `/ Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels <br /> Sample Verification,Labeling and Distribution. <br /> 1 Were all requested analyses understood and acceptable? es No <br /> 2 Did bottle labels correspond with the client's ID's? es No <br /> 3 Were all bottles requiring sample preservation properly preserved e No N/A FGL <br /> 4 Were all analyses within holding times at time of receipt? Ye No <br /> 5 Have rush or project due dates been checked and accepted? N/ Yes No <br /> Attach labels to the containers and include a copy of the COC for lab e <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 a temps) must be resolved <br /> I Person Contacted Phone Number <br /> Initiated By Date <br /> . Problem <br /> (3-3.4995) <br /> Resolution Ground Zero Analysis <br /> STK0431889 <br /> SRP-03/19/2004--12:21 49 <br />