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IFGL Environmental Doe 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. R <br /> 1 Number of ice chests/packages received <br />' 2 Were samples received in a chilled condition? Temps I I I I <br /> Acceptable is above freezing to 6° C Also acceptable is received on ice(R6I)for the same day of sampling or <br /> received at room temperature(RXO 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/11 T 'slrushesBacti'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 mtact9 (i a no broken bottles, leaks etc ) Q. No5 Were sample custody seals ifitacO Yes No <br />' Sign and date the COC, place in a ziplock and put in the same ice chest as Npples <br /> Sample Receipt Review completed by(initials) <br /> P p <br /> Sample Receipt at SP: <br /> 1 Were samples received in a chilled condition? Temps I 1 I I <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 ofbacti samples received <br /> 2 Do the number of bottles received agree with the COC? sf)�) No N/A <br /> 3 Were samples received intact? (i a no broken bottles, leaks etc} No <br /> 4 Were sample custody seals intact9 0— 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? No <br />' s No <br /> 2 Did bottle labels correspond with the client's ID's? <br /> , <br />' 3 Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 4 Were all analyses within holding times at time of receipt? yo? No <br />' 5 Have rush or project due dates been checked and accepted? 60t— 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 /> Disci epancy Documentation. <br />' Any items above which are "No" or do not meet specifications (i e temps) must be resolved <br /> 1 Person Contacted nL <br /> (3-14996) <br /> Initiated By <br /> Problem Ground hero Analysis <br /> Resolution STKO 4 3 6 5 0 4 <br /> IV-09/17/2004-09:17.43 <br /> Attach 1 f� .1 �.vitl) l,)h mirnlzw r ht i c, <br />