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FGL Environmental Doc ID: F3RF.0005.005 <br /> Revision Date: 2/13/09 Page: 1 of I <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: / <br /> I. 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 sane 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/rushes/Bacti's to <br /> prioritize further rev iea,. Please notify Microbiology personnel immediately of N s received.. <br /> 3. Do the number of bottles received agree with the COC? o N/A <br /> 4. Were samples received intact?(i.e. no broken battles. leaks etc.) es o <br /> S. VOAs checked for Ileadspace? Yes No <br /> 6. Were sample custody seals intact'? Yes No N/A <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as t e to les <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: 9 �� <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/t(:f.'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? §es No N( <br /> Sign and date the COC. obtain LUAS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Yes No <br /> 2. Did bottle labels correspond wish the clients ID's? Y No <br /> 3, Were all bottles requiring sample preservation properly preserved? s No N/A FGL <br /> 4. VOAs checked for licadspace? Yes No N1A <br /> S. Were all analyses within holding times at time of receipt? Ye No <br /> 6. Have rush or project due dates been checked and accepted? No // <br /> Attach labels to the containers and include a copy of the COC for lab d v <br /> Sample Receipt, Login and Verification completed by (initials): <br /> Discrepancy Documentation: <br /> Any items above which are "No"or do nui meet specifications(i.c. temps)must be resolved. <br /> 1. Person Comacred: __ _ Phone Number:_ <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3-12023) <br /> Luhdorff & Scalmanini Consulting <br /> STK1234922 <br /> NNB-06/01/2012-11:50: 13 - <br />