Laserfiche WebLink
FGL Environmental Doe ID. F3REC005 pot <br /> Revision Date 10/11/02 Page 1 of 1 <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 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 at one time check for tests/H T 's/rushesBacti's to <br /> prioritize further review Please notify Microbiology personnel unmediately of bacti samples received <br /> 3 Do the number of bottles received agree with the COC' Yes No N/A <br /> 4 Were samples received intact9 (i a no broken bottles, leaks etc ) Ye No <br /> 5 Were sample custody seals intact9 N/ Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as the sa.Mples <br /> Sample Receipt Review completed by(initials) <br /> Sample Receipt at SP: <br /> 1 Were samples received in a chilled cbndition9 Temps <br /> Acceptable is above freezing to 6°C If many packages are received atone time check for tests/H T's/rushes/Bacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bacti samples eived <br /> 2 Do the number of bottles received agree with the COC? No N/A <br /> 3 Were samples received intact9 (i a no broken bottles, leaks etc ) es o <br /> 4 Were sample custody seals intact9Yes No <br /> Sign and date the COC, obtain LMS sample numbers, select methods/tes s an pent labels <br /> Sai�nple Verification, Labeling and Distribution: - <br /> 1 � Were all requested analyses understood and acceptable9 Yes No <br /> 2 Did bottle labels correspond with the client's ID's7 es No <br /> 3 Were all bottles requiring sample preservation properly preserved es No N/A FGL <br /> 4 Were all analyses within holding times at time of receipts No <br /> 5 Have rush or project due dates been checked and accepted9 N/A Yes No <br /> Attach labels to the containers and include a copy of the COC for lab de <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 nat.- <br /> Problem (3-14996) <br /> 0 Resolution Ground Zero Analysis <br /> STK0338053 <br /> SRP-12/18/2003-10:09 28 <br /> Attach libel with lab number heic <br />