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06-22—'10 12;00 FROM—SKS NTERPBISES INC. 209-7593154 T-100 P008/008 F-125 4 0 FGL Environmental Doc YD: F3REC005.005 14-vislou Date: 2/13/09 11age: 1 of t Stockton - Co,idition Upon Receipt (Attach to COC) Sample Receipt at STIP: I . Number of ice chests/packages received: 2. Were samples received in it chilled condition? Temps: Acceptable is above freezing to 60 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 trust be documented below. If many packages are received at one time check for tests/H.T.'s/nishes.Bacti's to prioritize further review. Please notify Microbiology personnel immediately of bac its received.. 3. Do the number of bottles received agyce with the COC? .. No N/A 4. Were samples received intact'? (i.e. no broken bottles. leaks etc.) Yes No 5. VOAs checked for I-leadspace? lies No 6. Were sample custody seals intact? Yes No Sign and date the COC. place in a ziplock and put in the same ice chest,pl s. Sample Receipt Review completed by (initials): Sample Receipt at SP: i. Were samples received in a chilled condition'? Temps: / Acceptable is above freezing; to 6' C. If many packages are received at one time ck for te�S'ts�/H. i.'s/rushes/Bacti's to prioritize further review. Please notify Micro ' ogy personnel imme ' ply of bacti samples received. 2. Do the num r of bottles received agree with the COC?Xe. Yes No N/A 3. Were samples r2'�ived intact? (i.e. no broken bottles, leaYes No 4. Were sample custo pals intact'? Yes No NIA Sign and date the COC. obtain S sample numbers, sele Sample Verification, Labeling d Distribution: l . Were all requested analyses undeftQod and a ptabie? Did bottle labels correspond with the cyns? Were all bottles requiring 4. VOAs checked for S. Were all analyses `vithirr/holding times at time of receipt'? s and print labels. Yes No Yes No Yes No Yes No s No G. Have rush or project d�te dates been checked and accepted? Yes Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt. Login and Verification completed by (initials): Discrepancy Doc untenrntion: Any items abovo which arc "No" or do not meet specifications (i.e. temps) must be resolved. I , Person Contacted:,,,_,_ Phone Number: Initiated By: Date: Problem: Resolution: N/A FGL N/A N//A Attach label with lab number here