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FGL Environmental Doc TD•F3REC005.005 Revision Date: 2/13/09 Page: 11of 1 Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: I Number of ice chests/packages received: / 2. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day ol sampling or received at room temperature(RRT)if sampled within one hour of receipt. Client contact for tenqetaturc failures must be documented below. If many packages are received at one time check for tests/H.T.'stnu;4sBaeti's to prioritize further review. Please notify Microbiology personnel invnediately of ba les receibed.. 3. Do the number of bottles received agree with the COC? No N/A 4. Were samples received intact?(i.e.no broken bottles.leaks etc.) No 5. VOAs checked for Headspace? Yes- No 6. Were sample custody seals intact? es NoN/A Sign and date the COC. place in a ziplock and put in the same ice chest as the say Sample Receipt Review completed by(initials): Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps: _ Acceptable is above freezing to 6° C. If many packages are received at one time check fi9 tats/H.T.'s/rushes/$acti's to prioritize further review. Please notify Microbiology persITMCI 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.) Ye No 4. Were sample custody seals intact? es No /A Sign and date the COC. obtain LIMS sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution: I. Were all requested analyses understood and acceptable? Yes No t 2. Did bottle labels correspond with the clients IDs? Yes No 3. Were all bottles requiring sample preservation properly preserved? Y No N/A FGL 4. VOAs checked for Headspace? No N/A 5. Were all analyses within holding times at time of receipt? ((Owes No 6. Have rush or project due dates been checked and accepted? Yes No Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt,Login and Verification completed by(initials): Discrepancy Documentation: Any items above which we"No"or do not meet specifications(ix.temps)must be resolved. I. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution (3-16608) Live Oak Geo Fnvironmen�al STK 137230 SRP-08/16/2011-15:43: 6