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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: <br /> Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: / Rol <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 m <br /> must be documented below. If many packages are received at one time check for tests/H.T.'s/rushesoBacti'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? (qa2 No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for I leadspace? No N/A <br /> 6. Were sample custody seals intact? es 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 packages are received at one time check for <br /> tests.I:C.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacti samples received. y <br /> 2. Do the number of bottles received agree with the COC? Spabels. <br /> No N/A _ <br /> 3. Were samples received intact?(i.e.no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact'? No N/A <br /> Sign and date the COC. obtain LIMS sample numbers, select methods/tests and , <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? tes <br /> No <br /> 2. Did bottle labels correspond with the clients [D's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGI_ <br /> 4. VOAs checked for Headspace? No N/A Y <br /> 5. Were all analyses within holding times at time of receipt? Ye No <br /> 6. 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 delivgry.r/ <br /> Sample Receipt, Login and Verification completed by(initials): IJL� <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not meet specifications(ix. temps)must be resolved. <br /> I. Person Contacted: Phone Number -" <br /> Initiated By: _Dale: _ <br /> Problem: <br /> (3-16608) — <br /> Resolution: Live Oak GeO Environmental <br /> STK1332780 <br /> IV-03/29/2013-10:12:29 <br />