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Vy LL Vy 3., 14 44 !1.'l OV.) JLCI .111 IASL l1: 111111111.111L <br /> FGL Environmental Doc M.MEC,006.002 <br /> Revision Date: 10/11/02 page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COCl <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 Go C. Also acceptable is received on ice(ROI)for the same 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 docu meated below. If many packages are received zt one time check fbr tests/H.T.Vrashcs/Dacti's to <br /> prioritize 8urher review. Please nntif}'Microbiology personnel immediately of bacti Samples received.. <br /> 3. Do the number of bottles received agree with the COC? Yes No N/A <br /> 4. Were samples received intact? (i.e.no brok-u bottles,leaks etc.) No <br /> 5. Were sample custody seals intact? N/ Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP- <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. If many p:v kages are received at one time Check for tests/H.T.'6/ru611e5/B=t1'5 to <br /> prioritirefurtterreview. Pleasenet'fybh:robiologypenonnelimmediatelyo£bactiswriplesrcceivcd. <br /> 2. Do the number of bottles received agree with the COC? ee No N/A <br /> 3. Were samples received intact? (i.e.no broken bottles, leaks etc.) �%/ es No <br /> 4. Were sample custody seals intact? ( •�/ F�r'' Yes No <br /> Siert 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? No <br /> 2. Did bottle labels correspond with the client's ID's? o <br /> 3. Were all bottles requiring sample preservation properly preserved v No FGL. <br /> r 4. Were all analyses within holding times at time of receipt? No <br /> 5. 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 deCry <br /> Sample Receipt, Login and Verification completed by(initials): <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: )Shone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3-151801 <br /> Toy Newhall <br /> STK0432360 <br /> 513-94/09/2006-12:59:03 <br />