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,6FGL 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 Numbei of ice chests/pAckages received <br /> } 2 Were samples received in a chilled condition9 Temps <br /> i 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 immediately of bacti samples received <br />' 3 Do the number of bottles received agree with the COC? s No NIA <br /> 4 Were samples received intact? (i e no broken bottles, leaks etc } No <br /> 5 Were sample custody seals intact Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest ass pies <br /> Sample Receipt Review completed by (initials) <br /> Sample Receipt at SP <br /> 1 Were samples received in a chilled condition? Temps I I I 1 <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 COCA es No N/A <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) No <br /> 4 Were sample custody seals intact? Yes No <br /> Sib 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 acceptable9 No <br /> 2 Did bottle labels correspond with the client's ID's Yes No <br /> 3 Were all bottles requiring sample preservation properly preserved? Yes No N/ ' FGL <br />' 4 Were all analyses within holding times at time of receipt? es No <br /> 5 Have rush or project due dates been checked and accepted9 N/ Yes No f <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 /> 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 <br /> Problem Ground Zero - Stockton <br /> Resolution SP 0406527 <br /> SB-06/28/2004-11 41 11 <br />