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FGL Environmental Doc ID 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 I I 1 I <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 withal 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 of back samples received <br /> 3 Do the number of bottles received agree with the COC? Yes No NIA <br /> 4 Were samples received intact? (i e no broken bottles, leaks etc } Ye No <br /> 5 Were sample custody seals intact? N/ 'F Y-es No <br /> Jr <br /> Sign and date the COC, place in a ziplock and put in the same ace chest as the samples <br /> Sample Receipt Review completed by(initials) <br /> Sample Receipt at SP: <br /> 1 Were samples received in a chilled condition? Temps I I I 1 <br /> Acceptable is above freezing to 6° C If many packages are received atone time check for tests/H T's/ruslies/Bacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bacti sam eived <br /> 2 Do the number of bottles received agree with the COC? Ye No NIA <br /> 03 Were samples received intact? (i e no broken bottles, leaks etc No <br /> 4 Were sample custody seals intact? /A 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? No <br /> 2 Dad bottle labels correspond with the client's ID's? e No <br /> 3 Were all bottles requiring sample preservation properly preserved No NIA FGL <br /> 4 Were all analyses within holding tames at time of receipt? Y No <br /> 5 Have rush or project due dates been checked and accepted? N/ No <br /> Attach labels to the containers and include a copy of the COC for lab dell <br /> Sample Receipt, Login and Verification completed by(initials) <br /> Discrepancy Documentation: <br /> Any items above which are "No"or do not meet specifications (a a temps) must be resolved <br /> 1 Person Contacted Phone Number <br /> Initiated By Date <br /> .` Problem <br /> Resolution {3-149961 <br /> Ground Zero Analysis <br /> STK0431885 <br /> SRP-03/19/2004-12 16:23 I <br />