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01-28-'13 14:36 FROM -SKS -ENTERPRISES INC. 209-7593154 T-213 P016 F-130 FGL Environmental `)OC ID: F3REC005.005 Revision Date: 2/13/09 Page: 1 of 1 Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: I . Number of ice chests/packages received: 2_ Wcre samples received in a chilled condition? Temps: Acceptable is above freezing to 6° C. Also acceptable is received on ice (1101) 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 rests/H.T.'s/rushes/Bacti's to prioritize further review. Plcase notify Microbiology personnel immediately of �Mo eceived.. 3, Do the number of bottles received agree with the COC? o N/A 4, Were samples received intact? (i.e. no broken bottles, leaks etc.) 5. VOAs checked for lieadspaee'? Yes No 6. Were sample custody seals intact? Yes No N Sign and date the COC. place in a ziplock and put in tho same ice chest as the s s. Sample Receipt Review completed by (initials): Stemple Receipt at SP: 1. Were samples received in a chilled condition'? Temps: Acceptable is above freezing to 6° C. If many packages arc received at one time check for tests/H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel immediately of bacti samples received, 2. Do the number of bottles received agree with the COC? No N/A 3. Were samples received intact'? (i.e. no broken bottles, leaks etc.) No 4. Were sample custody seals intact? q�CFNo /A Siem and date the COC. obtain LIMS sample numbers, select methods/tests and print labels. S;tmple Verification, Labeling and Distribution: I . Were all requested analyses understood and acceptable? es No 2. Did bottle labels correspond with the client's fD"s? No 3. Were all bottles requiring sample preservation properly preserved? Yes No /A FGL 4. VOAs checked for Headspace? Yes No 5, Were all analyses within holding times at time of receipt? Yes ONo 6. Have rush or project due dates been checked and accepted? No N//A Attach labels to the containers and include a copy of the COC for lab de 'v Sample Receipt, Login and Verification completed by (initials): Discrepancy Documentation: Any.iteins above which are e specifications (i.c. temps) must be resolved. 1. Person Conta t Phone Number: Initiated By; Date: Problem;��Resolution: N e t1 ; y 13071 % ®IV& IV lil'fi Received Time Jan,28. 2013 1:36PM No.0447