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FGL EMIronmental Doc ID F3REC005 002 <br /> 14 Revision Date 10/11/02 Page, 1 of 1 <br /> ri Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: T <br /> 1 Number of ice chests/packages received <br /> 2 Were samples received in a chilled condition9 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 atone time check for tests/H T 's/rushesBacti'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 COC9 e No N/A <br /> 4 Were samples received intact9 (i a no broken bottles, leaks etc ) No <br /> 5 Were sample custody seals intact /A Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as the samples <br /> Sample Receipt Review completed by(initials) <br /> Sample Receipt at SP: <br /> 1 Were samples received in a chilled c6ndition9 Temps <br /> Acceptable is above freezing to 6° C If many packages are received atone time check for tests/II T's/rushesBacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bacti sample ived <br /> 2 Do the number of bottles received agree with the COCA No N/A <br /> 3 Were samples received intact? (i a no broken bottles, leaks etc } Ye o <br /> 4 Were sample custody seals intact? N/ 'es No <br /> Sign and date the COC, obtain LINTS sample numbers, select methods/tests and print labels <br /> S ample Verification, Labeling and Distribution- <br /> 1 � Were all requested analyses understood and acceptable9 Yes o <br /> 2 Did bottle labels correspond with the client's ID's9 Y o <br /> 3 Were all bottles requiring sample preservation properly preserve o N/A FGL <br /> 4 Were all analyses within holding times at time of receipt? o <br /> 5 Have rush or project due dates been checked and accepted Y No <br /> Attach labels to the containers and include a copy of the COC for lab de �I <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 (3-14996) <br /> Prob,le i wb �e <br /> Ground Zero Analys'is <br /> Resolution STK@ 3 3 8 0 5 <br /> CMsRP-12/18/2003-10 07.07 <br /> Attach Libel witli lab numbet Dere , <br />