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E FGL Environmental Doc ID: <br /> F3REC005.002 <br /> i <br /> F Revision Date: 01/20/01 Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> p P <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(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 documented below, If many packages are received at one time check for tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes 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 th�1 pl�es. <br /> Sample Receipt Review completed by (initials): �Y <br /> F Sample Receipt at SP: <br /> 1. 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 tests/H.T.'shusheslBacti's to <br /> prioritize further review. Please notify Microbiology personnel 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 /> 1 <br /> 4. Were sample custody seals intact? Yes No <br /> I` 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? t� ' No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Y� No N/A FGL <br /> ' 4. Were all analyses within holding times at time of receipt? Vs'� No <br /> 5. Have rush or project due dates been checked and accepted? c� No <br /> Attach labels to the containers and include a copy of the COC for lab delivery.' 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 1. Person Contacted: Phone Number: <br /> Initiated By: T-%-4-. <br /> r Problem: + {3-9574)I <br /> San Joaquin Co. Ut2Iitzes Maintenance i <br /> Resolution:F,; S TK U V3 O O V O I <br /> IV-02/07./2006-10:27:41 <br /> 5 ;J <br />