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Y ' FGL Environmental J Doe ID: F3REC005.005 Revision Date: 2/13/09 Page: 1 of 1 Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: _ 1. Number of ice chests/packages received: 1 2. Were samples received in a chilled condition? Temps:ALI/ Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI) for the same day of sampling or received at room temperature(RRT) if sampled within one hour of receipt. Client contact for temperature failures must be documented below. If many packages are received at one time check for tests/H.T.'s/rushesBacti's to prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. 3. Do the number of bottles received agree with the COC? Yes No N/A 4. Were samples received intact?(i.e.no broken bottles. leaks etc.) Yes No 5. VOAs checked for Headspace? Yes No N/A 6. Were sample custody seals intact? Yes No N/A Sign and date the COC. place in a ziplock and put in the same ice chest as the samples. Sample Receipt Review completed by(initials): Sample Receipt at SP: 1. Were samples received in a chilled condition'? Temps: /_/_/_/_ Acceptable is above freezing to V C. If many packages are received at one time check far tests/H.T.'s/rushesBacti's to prioritize further review. Please notify Microbiology personnel immediately ofbacti samples received. 2 Do the number of bottles received agree with the COC? Ye No N/A 3. Were samples received intact?(i.e.no broken bottles, leaks etc.) a No 4. Were sample custody seals intact? es No /A Sign and date the COC.obtain LEAS sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution: I. Were all requested analyses understood and acceptable? es No 2. Did bottle labels correspond with the client's ID's? Y No 3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL 4. VOAs checked for Headspace? Yf s No N/A 5. Were all analyses within holding times at time of receipt? ,Y No 6. Have rush or project due dates been checked and accepted? Yes o N//A Attach labels to the containers and include a copy of the COC for lab delive Sample Receipt,Login and Verification completed by(initials): Discrepancy Documentation: Any items above which are"No"or do not meet specifications ti.e,temps)must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: (3-11146) Resolution: Valley Industries STK0933389 SRP-04/17/2009-11:42:47