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FGL Environmental Doc ID. F3REC005.002 <br /> Revision Date. 10/11/02 Page I 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 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/rushes/Bacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bacti sa les received <br /> 3 Do the number of bottles received agree with the COC' Yes No N/A <br /> 4 Were samples received intact? (i a no broken bottles, leaks etc ) es No <br /> 5 Were sample custody seals intact? N/ Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as the sam es <br /> Sample Receipt Review completdd by(initials) <br /> Sample Receipt at SP: <br /> 1 Were samples received in a chilled condition? Temps <br /> Acceptable is above freezing to 6° C if many packages are received atone time check for tests/H T's/rushesBacti's to <br /> pnontize further review Please notify Microbiology personnel immediately of bacti sample ived <br /> 2 Do the number of bottles received agree with the COC9 es No N/A <br /> • 3 Were samples received intact? (i e no broken bottles, leaks etc ) o <br /> 4 Were sample custody seals intact? Yes No <br /> Sign and date the COC, obtain MAS sample numbers, select methods/tests and print labels <br /> Sample Verification, Labeling and Distribution: <br /> 1 � Were all requested analyses understood and acceptable &esNo <br /> 2Did bottle labels correspond with the client's ID's9 No <br /> 3 Were all bottles requiring sample preservation properly preservedNo N/A FGL <br /> 4 Were all analyses within holding times at time of receipt? No <br /> 5 Have rush or project due dates been checked and accepted? es 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 /> 1 Person Contacted ni,^ria N,jmher <br /> Initiated By (3-14996) <br /> Problem Ground zero Analysis <br /> • Resolution STK 0 3 3 8 0 5 4 <br /> SRP-12/18/2003-10,12 53 <br /> Attacli libel with lab nurnbei heie <br />