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R <br /> FGL,Environmental Doc ID: ' <br /> i <br /> F3RECO05002 <br /> Revision Date: 01/20/04 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: v <br /> 2. Were samples received in a chilled condition? 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/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti sam les 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.) es 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 the p <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/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples r <br /> 2. Do the number of bottles received agree with the COC? No N/A <br /> 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) Y No <br /> 4. Were sample custody seals intact? N/ Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/Is print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? es 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? No (N/AJFGL <br /> 4. Were all analyses within holding times at time of receipt? Y No <br /> 5. Have rush or project due dates been checked and accepted? WAAYY es No <br /> Attach labels to the containers and include a copy of the COC for lab deli <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: (3-12203) <br /> Scotts l�rex Corpora t Ion <br /> Resolution: � � <br /> 63 7952 <br /> SRP-09/15/2006-10:37:38 <br />