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' FGL Environmental Doc ID: 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 condition? Temps I I 1 1 <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 withm 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 btrriples received <br /> 3 Do the number of bottles received agree with the COC9 (mea' No NIA <br />' 4 Were samples received intact? (i a no broken bottles, leaks etc ) No <br /> 5 Were sample custody seals ifitact9 (aVW� Yes No <br /> If <br /> Sign and date the COC, place in a ziplock and put in the same ice chest a mples <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 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 /> 2 Do the number of bottles received agree with the COC? No N/A <br /> 3 Were samples received intact` (i a no broken bottles, leaks etc ) a No <br /> 4 Were sample custody seals intact9 f - 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 ci;)� No <br /> 2 Did bottle labels correspond with the client's ID's9 <br />' 3 Were all bottles requiring sample preservation properly preserved? Yes No <jT2�r, FGL <br /> 4 Were all analyses within holding times at time of receipt9 No <br /> 5 Have Wish or project due dates been checked and accepted Yes No � <br /> Attach labels to the containers and include a copy of the COC for lab delivery <br /> Sample Receipt, Login and Verification completed by(initials) <br /> Discrepancy Documentation. <br /> Anv items above which are "No" or do not meet specif to nc) mnct he resolved <br /> I Person Contacted <br /> (3—?4995) <br /> Problem liBy Ground Zero Analysis <br /> Resolution <br /> STK0436508 <br /> IV-09/17/2004-09 24.00 <br /> r <br /> _. --- Att'1C.11- _ I'A Aviih 11, ni in-4) r 11-t <br />