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FGL Environmental Doc ID: F3REC005.005 <br /> Revision Date: 2/13/09 Page: I of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: n <br /> 1. Number of ice chests/packages received: /�C <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 temperance(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/iushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of b*es <br /> yles 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 /> 5. VOAs checked for Headspace> No <br /> 6. Were sample custody seals intact? Yes No �NS/A <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as. tttples <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> I. 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 <br /> tests/H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacti 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.) No <br /> 4. Were sample custody seals intact? a No N/A <br /> Sign and date the COC.obtain LIMS sample numbers, select methods/tests and pant 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? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? Yes No <br /> S. Were all analyses within holding times at time of receipt? P No <br /> 6. Have rush or project due dates beel checked and accepted? Yes No'—OA <br /> Attach labels to the containers and includi a copy of the COC for lab delive . \J� <br /> Sample Receipt,Login and Verification cbmpleted by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not meet specifications li.c.temps)must be resolved. <br /> I. Person Contacted:_ Phone Number: <br /> Initiated By: Date: <br /> Probjenm�l�",1'I"I (ltl�YlScWCGf �{U-Q,�D . . <br /> Resolution: Vt6t+kV1 Ofisu-I^1 f-6 - - •- <br /> r, t <br /> t{t ii ►1U <br />