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FGL Environmental Doc 1D. F3REC005.002 <br /> Revision Date 10/11/02 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 condition9 Temps I I I I <br /> Acceptable is above freezing to 6° C Also acceptable is received on ice(R(5I)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 tune check for tests/H T 's/rushesBacti's to <br /> pnontize further review Please notify Microbiology personnel immediately of bacti samples received <br /> 3 Do the number of bottles received agree with the COC? es No N/A <br /> 4 Were samples received intact`? (i e no broken bottles, leaks etc , No <br /> 5 Were sample custody seals intact N/A Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as thq samples <br /> Sample Receipt Review completed 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 /> prioritize further review Please notify Microbiology personnel immediately of bacti same] eceiv <br /> 2 Do the number of bottles received agree with the COC9 o N/A <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) o <br /> 4 Were sample custody seals intact9 N/A es No <br /> Sign and date the COC, obtain LMS sample numbers, select methods/tests and print labels <br /> SaMple Verification, Labeling and Distribution: <br /> I '� Were all requested analyses understood and acceptable? Y No <br /> 2 Did bottle labels correspond with the client's ID's? No <br /> 3 Were all bottles requiring sample preservation properly preserve Y No 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? N/A s No <br /> Attach labels to the containers and include a copy of the COC for lab deliv <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 Phone Number <br /> Initiated By Date <br /> Problem <br /> w <br /> 3-14996) <br /> Resolutionhero An Y a� SLS <br /> Ground <br /> S�K0338055 <br /> is-26 <br /> icto numbei heie <br />