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08-02-'12 11:07 FROM -SKS ENTERPRISES INC. 209-7593154 T-378 P011 F-358 <br />.FGL Environmental Doe TD: F3REC005.005 <br />Re%-ision Date: 2/13/09 Page: 1 of 1 <br />Stockton r Condition Upon Receipt (Attach to COC) <br />Sample Receipt at STK: <br />1. Number of ice chests/packages received: <br />2. Were samples received in a chilled condition? Temps: -,/ <br />Acceptable is above freezing to 6° C. Also acceptable is received on ice (R(5) for the sane 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/N.T.'shushes/Bacti's to <br />prioritize further review. Please notify Microbiology personnel immediately of <br />baces received.. <br />3. Do the number of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />S. VOAs checked for lleadspace? No <br />6. Were sample custody seals intact? Ye No C N/A <br />Sign and date the COC. place in a ziplock and put in the same ice chest as the sa s. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at Sl':a C./ <br />1. Were samples received in a chilled condition? Temps: !)-/ J / /_� <br />Acceptable is above freezing to 6° C. If many packages are received at one time check for <br />tests/fl.'Us/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br />immediately of bacii samples received. <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.)*es <br />No <br />4. Were sample custody seals intact'? No N/A <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? es No <br />2. Did bottle labels correspond with the client's iD's? No <br />3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br />4. VOAs checked for lieadspace? Yes No <br />S. Were all analyses within holding times at time of receipt? a No <br />6. Have rush or project due dates been checked and accepted? Yes No <br />Attach labels to the containers and include a copy of the COC for lab del' c <br />Sample Receipt, Login and Verification completed by (initials): <br />a3 <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: Date: <br />Problem: <br />Resolution: (3-13071) <br />SKS Enterprises <br />STK1235737 <br />NMB -06/22/2012--08:55:05 <br />Received Time Aug, 2. 2012 11:08AM No.0200 <br />